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CAH501330-00 ASTRIA SUNNYSIDE HOSPITAL (Active)
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Main Details
Name
ASTRIA SUNNYSIDE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501330-00
Medicare Provider Number
501330
Additional Details
Current Program Status
Active
Registration Date
10/2/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/15/2019
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Astria Health
Sierra Foster, Assistant Administrator
(509) 790-7284
Primary Contact
Astria Health
Elizabeth Jensen, System Director of Pharmacy
(509) 837-1360
Addresses
Street Address
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Billing Address
SUNNYSIDE COMMUNITY HOSPITAL
PO Box 719
Sunnyside, WA 98944
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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