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DSH500129AC TACOMA GENERAL/ALLENMORE HOSPITAL (Terminated)
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Main Details
Name
TACOMA GENERAL/ALLENMORE HOSPITAL
Subdivision Name
MultiCare Obgyn Associate II Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500129AC
Medicare Provider Number
500129
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
Last Recertification Date
8/27/2014
Termination Date
Termination Reason
7/1/2015
Site closure
Contacts
Authorizing Official
MULTICARE HEALTH SYSTEM
Florence Chang, President
(253) 403-7355
Primary Contact
MultiCare Health System
Tom Rowe, Director, Phamacy Acute Care
(253) 403-1629
Addresses
Street Address
521 Martin Luther King Jr Way
Tacoma, WA 98405
Billing Address
Multicare Medical Center Pharmacy
315 Martin Luther King Jr Way
Tacoma, WA 98405
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/20/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
April 2025
April 2025
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