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DSH050196 Central Valley General Hospital (Terminated)
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Main Details
Name
Central Valley General Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050196
Medicare Provider Number
050196
Additional Details
Current Program Status
Terminated
Registration Date
11/23/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/4/2007
Last Recertification Date
8/17/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Adventist Health
David L. Larsen, SR VP CFO
(559) 537-0050
Primary Contact
Adventist Medical Center Hanford
John Choi, Director of Pharmacy
(559) 537-2204
Addresses
Street Address
1025 N. Douty Street
Hanford, CA 93230
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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