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DSH500129J TACOMA GENERAL/ALLENMORE HOSPITAL (Active)
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Main Details
Name
TACOMA GENERAL/ALLENMORE HOSPITAL
Subdivision Name
Baker Center Ambulatory Surgery Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500129J
Medicare Provider Number
500129
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/29/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/28/2012
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
MultiCare Health System
Timothy Wayne Lynch, Sr. VP, Chief Administrative Officer
(253) 403-2824
Primary Contact
MultiCare Health System
Cindy Wilson, Assistant Vice President - Pharmacy Compliance
(253) 403-2822
Addresses
Street Address
316 Martin Luther King Jr Way
Tacoma, WA 98406
Billing Address
Tacoma General Hospital Pharmacy
PO Box 5299
MS 1313-5-AP
Tacoma, WA 98415-0299
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/20/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
April 2025
April 2025
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