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CAH051314-00 KERN VALLEY HEALTHCARE DISTRICT (Active)
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Main Details
Name
KERN VALLEY HEALTHCARE DISTRICT
Subdivision Name
Kern Valley Hospital
Type
Critical Access Hospital
Rural
No
340B ID
CAH051314-00
Medicare Provider Number
051314
Additional Details
Current Program Status
Active
Registration Date
8/4/2010
Participating Start Date
8/24/2010
Participating Approval Date
8/4/2010
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Kern Valley Healthcare District
Amy Lynn Smith, Controller
(760) 379-2681 Ext: 500
Primary Contact
Kern Valley Healthcare District
Timothy McGlew, Chief Executive Officer
(760) 379-2681 Ext: 245
Addresses
Street Address
6412 LAUREL AVENUE
LAKE ISABELLA, CA 93240
Billing Address
KERN VALLEY HEALTHCARE DISTRICT
6412 LAUREL AVENUE
P.O. BOX 1628
LAKE ISABELLA, CA 93240
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/11/12 - Added Medicaid # and NPI #
05/11/2012
May 2025
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