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DSH500027G SWEDISH MEDICAL CENTER (Active)
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Main Details
Name
SWEDISH MEDICAL CENTER
Subdivision Name
Swedish Cancer Institute (SCI) Issaquah
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500027G
Medicare Provider Number
500027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/6/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/22/2012
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Swedish Medical Center First Hill
Eric M Delgado, Chief Financial Officer
(562) 243-3861
Primary Contact
Providence/Swedish
Melisa G Lea, 340B Program Manager
(206) 756-0546
Addresses
Street Address
751 NE Blakely Drive, Suite 1090
Issaquah, WA 98029
Billing Address
Providence St Joseph Health
PO BOX 31263
Salt Lake City, UT 84131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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