340B Drug Pricing Program Database
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CAH501315-00 Klickitat County Public Hospital District #2, d/b/a Skyline Hospital (Active)
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Main Details
Name
Klickitat County Public Hospital District #2, d/b/a Skyline Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501315-00
Medicare Provider Number
501315
Additional Details
Current Program Status
Active
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/3/2013
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Skyline Hospital
Brenda Schneider, CFO
(509) 637-2901
Primary Contact
Skyline Hospital
Amy Knowles, Pharmacy Manager
(509) 637-2812
Addresses
Street Address
211 Skyline Drive
White Salmon, WA 98672-0099
Billing Address
Klickitat County Public Hospital District #2 d/b/a Skyline Hospital
P. O. Box 99
White Salmon, WA 98672-0099
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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