340B Drug Pricing Program Database
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DSH500003A SKAGIT VALLEY HOSPITAL (Active)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Camano Community Health Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003A
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/31/2024
Last Recertification Date
Contacts
Authorizing Official
Public Hospital District No. 1, Skagit County, dba Skagit Regional Health
Tamara L Cesena, Chief Financial Officer
(360) 445-8512
Primary Contact
Skagit Valley Hospital
Alma K Martinez, 340B Program Manager
(360) 814-5001
Addresses
Street Address
127 N EAST CAMANO DRIVE
SUITE A
CAMANO ISLAND, WA 98282
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2006, terminated 10/1/2024. Reinstated 1/1/2025.
10/31/2024
9/4/2007- DOC RECD TO CONFIRM ELIG DSH ADJ %
10/07/2008
May 2025
May 2025
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