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CAH501331-08 Public Hospital District #1-A DBA Pullman Regional Hospital (Approved)
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Main Details
Name
Public Hospital District #1-A DBA Pullman Regional Hospital
Subdivision Name
Palouse Medical - Internal Medicine
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501331-08
Medicare Provider Number
501331
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/30/2025
Last Recertification Date
Contacts
Authorizing Official
Pullman Regional Hospital
Steve Douglas Febus, CFO
(509) 336-7362
Primary Contact
Pullman Regional Hospital
Andrea Lee Howell, Director of Pharmacy
(509) 336-7545
Addresses
Street Address
825 SE Bishop Blvd
200
Pullman, WA 99163
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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