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CAH501339-00 WHIDBEY GENERAL HOSPITAL (Active)
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Main Details
Name
WHIDBEY GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501339-00
Medicare Provider Number
501339
Additional Details
Current Program Status
Active
Registration Date
7/17/2018
Participating Start Date
10/1/2018
Participating Approval Date
9/7/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
WhidbeyHealth Medical Center
Garth Allen Miller, COO
(360) 678-7656 Ext: 3802
Primary Contact
Whidbey General Hospital
Joshua Caleb Smith, Director of Pharmacy
(360) 678-7656 Ext: 3700
Addresses
Street Address
101 N MAIN ST
Inpatient Pharmacy
COUPEVILLE, WA 98239
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 9/27/2010, terminated 1/1/2018. Reinstated 10/1/2018.
09/07/2018
April 2025
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