340B Drug Pricing Program Database
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DSH500008B UNIVERSITY OF WASHINGTON MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF WASHINGTON MEDICAL CENTER
Subdivision Name
UNIVERSITY OF WASHINGTON - MS CLINIC AT NORTHWEST
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500008B
Medicare Provider Number
500008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/9/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/21/2012
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
UW Medicine
Jacqueline L Cabe, Chief Financial Officer
(206) 616-9886
Primary Contact
UW Medicine
Sumona Patel, Pharmacy Audit and Compliance Manager
(206) 598-6936
Addresses
Street Address
1536 NORTH 115TH STREET
SEATTLE, WA 98133
Billing Address
UW Medicine
PO BOX 45404
Seattle, WA 98145
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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