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CAH051301-00 Adventist Health Medical Center Tehachapi (Active)
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Main Details
Name
Adventist Health Medical Center Tehachapi
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH051301-00
Medicare Provider Number
051301
Additional Details
Current Program Status
Active
Registration Date
8/20/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/14/2012
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Adventist Health Bakersfield
Jennifer Lavers, Chief Operating Officer
(661) 713-5431
Primary Contact
Adventist Health Bakersfield
Zachary Wesley-Keith Glover, 340b Program Compliance Analyst
(661) 869-6280 Ext: 2581
Addresses
Street Address
1100 Magellan DR
Tehachapi, CA 93561
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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