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CAH501314-00 Ocean Beach Hospital (Active)
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Main Details
Name
Ocean Beach Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501314-00
Medicare Provider Number
501314
Additional Details
Current Program Status
Active
Registration Date
11/23/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/14/2011
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Ocean Beach Hospital
Eric Leslie Volk, CFO
(509) 999-0852
Primary Contact
Ocean Beach Hospital
Brenda Lynn Sharkey, CNO
(360) 642-6315
Addresses
Street Address
174 First Ave N
Ilwaco, WA 98624
Billing Address
Ocean Beach Hospital
Drawer H
Ilwaco, WA 98624
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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