340B Drug Pricing Program Database
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DSH500003C SKAGIT VALLEY HOSPITAL (Active)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Regional Cancer Care Center at Skagit
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003C
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/5/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/12/2006
Last Recertification Date
8/12/2024
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
307 S 13th St, Suite 100
MOUNT VERNON, WA 98274-4126
Billing Address
Skagit Regional Health
PO Box 1376
Mount Vernon, WA 98273
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/4/2007- DOC RECD TO CONFIRM ELIG DSH ADJ %
09/10/2007
May 2025
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