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DSH050225M Adventist Health Feather River (Terminated)
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Main Details
Name
Adventist Health Feather River
Subdivision Name
Anticoagulation Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050225M
Medicare Provider Number
050225
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2013
Participating Start Date
10/1/2013
Participating Approval Date
7/12/2013
Last Recertification Date
8/30/2018
Termination Date
Termination Reason
7/1/2019
Site closure
Contacts
Authorizing Official
Adventist Health Castle
Ryan Ashlock, CEO
(808) 263-5142
Primary Contact
Feather River Hospital
Heather Barber, Director of Pharmacy
(530) 876-7978
Addresses
Street Address
5910 Clark Rd
Ste U
Paradise, CA 95969-4860
Billing Address
Feather River Hospital
PO Box 677000
Paradise, CA 95967-9937
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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