340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PED503300-01 SEATTLE CHILDREN'S HOSPITAL (Terminated)
Print
Main Details
Name
SEATTLE CHILDREN'S HOSPITAL
Subdivision Name
FEDERAL WAY CLINIC
Type
Children's Hospital
Rural
No
340B ID
PED503300-01
Medicare Provider Number
503300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/29/2010
Participating Start Date
7/1/2013
Participating Approval Date
6/28/2013
Last Recertification Date
8/13/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Seattle Children's Hospital
Warren E Hewitt, VP, Finance and Chief Accounting Officer
(206) 884-2378
Primary Contact
Seattle Children's Hospital
JERRY KINZIG, DIRECTOR OF REIMBURSEMENT
(206) 884-2361
Addresses
Street Address
34503 9TH AVENUE S.
SUITE 300
FEDERAL WAY, WA 98003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
6/24/13 participating 9/29/10 thru 3/31/12, not participating 4/1/12 thru 6/30/13, re-instated effective 7/1/13 based on a new registration submitted;
06/24/2013
2/28/12 Site terminated, effective 4/1/12
02/28/2012
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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