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DSH500016A CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION DBA CONFLUENCE HEALTH HOSPITAL (Active)
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Main Details
Name
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION DBA CONFLUENCE HEALTH HOSPITAL
Subdivision Name
Infusion Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500016A
Medicare Provider Number
500016
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/15/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Confluence Health
Kelly M Allen, CNO/Administrator
(509) 433-3133
Primary Contact
Confluence Health
Kristy Clare, 340B Pharmacy System Administrator
(509) 662-1511 Ext: 32149
Addresses
Street Address
820 N Chelan Avenue
Wenatchee, WA 98801
Billing Address
Confluence Health Hospital
PO Box 1885
Wenatchee, WA 98807
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/25/13-Ready for IS approval. Have all necessary documentation.
04/25/2013
May 2025
May 2025
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