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CAH051310-00 Willits Hospital Inc., DBA Adventist Health Howard Memorial (Active)
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Main Details
Name
Willits Hospital Inc., DBA Adventist Health Howard Memorial
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH051310-00
Medicare Provider Number
051310
Additional Details
Current Program Status
Active
Registration Date
8/31/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/27/2011
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Adventist Health North Coast Network
Jeff Mock, Finance Officer, North Coast Network
(916) 406-1417
Primary Contact
Adventist Health Ukiah Valley
Tracy Dolmage, Pharmacy Analyst
(707) 463-7633
Addresses
Street Address
One Marcela Drive
Willits, CA 95490-5769
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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