340B Drug Pricing Program Database
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CAH501329-00 UNITED GENERAL MEDICAL CENTER (Active)
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Main Details
Name
UNITED GENERAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501329-00
Medicare Provider Number
501329
Additional Details
Current Program Status
Active
Registration Date
4/11/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/18/2019
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Peacehealth.org
Krista N Touros, CFO
(360) 788-6754 Ext: 6754
Primary Contact
PeaceHealth
Adriane Kindell, 340B Program Supervisor
(360) 414-2137
Addresses
Street Address
2000 HOSPITAL DRIVE
SEDRO WOOLLEY, WA 98284
Billing Address
PeaceHealth
1115 SE 164th Ave
Ste. 332
Vancouver, WA 98683
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 8/19/2010; Terminated on 10/1/2016; Reinstated 7/1/2019.
04/18/2019
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