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DSH500129H TACOMA GENERAL/ALLENMORE HOSPITAL (Active)
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Main Details
Name
TACOMA GENERAL/ALLENMORE HOSPITAL
Subdivision Name
MULTICARE REGIONAL CANCER CENTER - PUYALLUP
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500129H
Medicare Provider Number
500129
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/8/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/20/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
MultiCare Health System
Timothy Wayne Lynch, Sr. VP, Chief Administrative Officer
(253) 403-2824
Primary Contact
MultiCare Health System
Cindy Wilson, Assistant Vice President - Pharmacy Compliance
(253) 403-2822
Addresses
Street Address
400 15TH AVE SE
PUYALLUP, WA 98372
Billing Address
MultiCare Health System
PO Box 5299
MS 1313-5-AP
Tacoma, WA 98415-0299
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/20/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
April 2025
April 2025
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