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CAH501319-00 LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH (Active)
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Main Details
Name
LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501319-00
Medicare Provider Number
501319
Additional Details
Current Program Status
Active
Registration Date
5/16/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/9/2011
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
A
Clint Scogin, Controller
(360) 496-3713
Primary Contact
Morton General Hospital
Shana Garcia, Executive Assistant
(360) 496-3537
Addresses
Street Address
521 Adams Avenue
MORTON, WA 98356
Billing Address
ARBOR HEALTH
P.O. BOX 1138
MORTON, WA 98356
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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