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DSH050225 Adventist Health Feather River (Terminated)
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Main Details
Name
Adventist Health Feather River
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050225
Medicare Provider Number
050225
Additional Details
Current Program Status
Terminated
Registration Date
9/7/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/17/2010
Last Recertification Date
8/30/2018
Termination Date
Termination Reason
7/1/2019
Site closure
Contacts
Authorizing Official
Adventist Health Castle
Ryan Ashlock, CEO
(808) 263-5142
Primary Contact
Feather River Hospital
Heather Barber, Director of Pharmacy
(530) 876-7978
Addresses
Street Address
5974 PENTZ ROAD
PARADISE, CA 95969
Billing Address
Adventist Health Feather River
5974 Pentz Rd
Paradise, CA 95967-7000
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/14/2010- ADDED SHIP TO - DSH050225 HAS TWO VALID SHIPPING ADDRESSES, ONE AT 5974 PENTZ RD AND ONE AT 5125 SKYWAY ; 9/7/2010- DOC. RECD. TO CONFIRM ELIG. DSH PERCENTAGE;06/28/11 REMOVED SHIPPING ADDR.AT 5125 SKYWAY
09/07/2010
April 2025
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