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CAH501317-00 Grant County Public Hospital District #3, dba Columbia Basin Hospital (Active)
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Main Details
Name
Grant County Public Hospital District #3, dba Columbia Basin Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501317-00
Medicare Provider Number
501317
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/23/2013
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
CBH
Anthonie Zimmermann, CFO
(732) 552-5812
Primary Contact
Columbia Basin Hospital
Kelli Sue Goodian Delys, Controller
(509) 754-4631 Ext: 1233
Addresses
Street Address
200 Nat Washington Way
Ephrata, WA 98823-1982
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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