340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH501339-02 WHIDBEY GENERAL HOSPITAL (Active)
Print
Main Details
Name
WHIDBEY GENERAL HOSPITAL
Subdivision Name
WHIDBEYHEALTH PRIMARY CARE - CLINTON
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501339-02
Medicare Provider Number
501339
Outpatient Facility Provider Number
508506
Additional Details
Current Program Status
Active
Registration Date
10/8/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/21/2019
Last Recertification Date
8/12/2024
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
11245 SR 525
CLINTON, WA 98236
Billing Address
WHIDBEY GENERAL HOSPITAL
101 NORTH MAIN STREET
COUPEVILLE, WA 98239
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date: (9/27/2010) until terminated effective date: (1/1/2018), reinstatement effective date: (01/01/2020)
10/16/2019
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session