340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050057N Kaweah Delta Health Care District DBA Kaweah Health (Terminated)
Print
Main Details
Name
Kaweah Delta Health Care District DBA Kaweah Health
Subdivision Name
EXETER THERAPY SPECIALISTS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050057N
Medicare Provider Number
050057
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2013
Participating Start Date
4/8/2013
Participating Approval Date
4/5/2013
Last Recertification Date
9/14/2020
Termination Date
Termination Reason
7/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Kaweah Delta Health Care District DBA Kaweah Health
Gary K Herbst, Chief Executive Officer
(559) 624-2330
Primary Contact
Kaweah Delta Health Care District DBA Kaweah Health
Jill C Anderson, Pharmacy Business Manager
(559) 624-5091
Addresses
Street Address
1131 Visalia Road
EXETER, CA 93221
Billing Address
Kaweah Delta Health Care District
400 W. Mineral King Ave
Visalia, CA 93291
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
4/8/13 CE has late start date due to miscommunication between OPA and CE;
04/08/2013
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session