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CAH501327-00 Whitman Hospital and Medical Center (Active)
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Main Details
Name
Whitman Hospital and Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501327-00
Medicare Provider Number
501327
Additional Details
Current Program Status
Active
Registration Date
6/1/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Whitman Hospital And Medical Center
Abby Smith, Chief Financial Officer
(509) 397-3435 Ext: 312
Primary Contact
Whitman Hospital and Medical Center
Justin Ross, Pharmacy Manager
(509) 397-3435
Addresses
Street Address
1200 West Fairview
Colfax, WA 99111
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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