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PED503300-03 SEATTLE CHILDREN'S HOSPITAL (Active)
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Main Details
Name
SEATTLE CHILDREN'S HOSPITAL
Subdivision Name
BELLEVUE CLINIC
Type
Children's Hospital
Rural
No
340B ID
PED503300-03
Medicare Provider Number
503300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/29/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/29/2010
Last Recertification Date
8/26/2024
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
Joanne Donhoff, Senior Reimbursement Analyst
(206) 884-2345
Addresses
Street Address
1500 116th Ave NE
BELLEVUE, WA 98004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Bellevue Clinic and Urgent Care is now listed in 340B as several clinics: PED503300-03, and -10 through -16; 12/19/11 added NPI #; 10/20/11 removed npi (was 1326361395); 09/09/11 ADDED NPI#
06/28/2013
12/19/11 added NPI #; 10/20/11 removed npi (was 1326361395); 09/09/11 ADDED NPI#
12/19/2011
10/20/11 removed npi (was 1326361395); 09/09/11 ADDED NPI#
10/20/2011
10/19/11 removed npi (was 1326361395); 09/09/11 ADDED NPI#
10/19/2011
09/09/11 ADDED NPI#
09/09/2011
May 2025
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