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DSH500154 MULTICARE COVINGTON MEDICAL CENTER (Active)
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Main Details
Name
MULTICARE COVINGTON MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500154
Medicare Provider Number
500154
Additional Details
Current Program Status
Active
Registration Date
1/10/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/4/2025
Last Recertification Date
Contacts
Authorizing Official
MultiCare Health System
Timothy Wayne Lynch, Sr. VP, Chief Administrative Officer
(253) 403-2824
Primary Contact
MultiCare Health System
Cindy Wilson, Assistant Vice President - Pharmacy Compliance
(253) 403-2822
Addresses
Street Address
17700 SE 272ND STREET
COVINGTON, WA 98042
Billing Address
Multicare Covington Medical Center
PO Box: 5299
MS 1313-5-AP
Tacoma, WA 98415-0299
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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