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DSH500129F TACOMA GENERAL/ALLENMORE HOSPITAL (Active)
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Main Details
Name
TACOMA GENERAL/ALLENMORE HOSPITAL
Subdivision Name
MULTICARE REGIONAL CANCER CENTER - GIG HARBOR
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500129F
Medicare Provider Number
500129
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
12/1/2005
Participating Start Date
12/1/2005
Participating Approval Date
12/1/2005
Last Recertification Date
8/18/2024
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
4545 POINT FOSDICK DR NW Suite 215
GIG HARBOR, WA 98335
Billing Address
Multicare Health System
PO Box 5299
MS 1313-5-AP
Tacoma, WA 98415-0299
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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NEW ADDRESS AS OF 6/11/07. WAS 4700 POINT FOSDICK DR,# 120, GIG HARBOR, WA 98335 03/20/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
NEW ADDRESS AS OF 6/11/07. WAS 4700 POINT FOSDICK DR,# 120, GIG HARBOR, WA 98335
06/11/2007
April 2025
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