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DSH500058 Kadlec Regional Medical Center (Active)
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Main Details
Name
Kadlec Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500058
Medicare Provider Number
500058
Additional Details
Current Program Status
Active
Registration Date
5/14/2007
Participating Start Date
7/1/2007
Participating Approval Date
5/14/2007
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Kadlec Regional Medical Center
Spencer Dwayne Harris, CFO
(509) 942-2708
Primary Contact
Kadlec Regional Medical Center
C.J. Cahoon, Director of Pharmacy
(509) 946-4611 Ext: 4263
Addresses
Street Address
888 SWIFT BOULEVARD
RICHLAND, WA 99352
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/23/12 UPDATED ENTITY NAME (WAS KADLEC MEDICAL CENTER); 6/17/08-ADDED MEDICAID #
02/23/2012
6/17/08-ADDED MEDICAID #
06/17/2008
April 2025
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