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DSH050192L Reedley Community Hospital dba Adventist Health Reedley (Active)
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Main Details
Name
Reedley Community Hospital dba Adventist Health Reedley
Subdivision Name
Adventist Health/Community Care - Riverdale
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050192L
Medicare Provider Number
050192
Outpatient Facility Provider Number
058667
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/23/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Adventist Health
Timothy Michael Haydock, CFO
(559) 537-0050
Primary Contact
Adventist Health
Ahmed Abukhazneh, Pharmacist, Charge
(559) 537-2190
Addresses
Street Address
3567 W Mt. Whitney Avenue
Riverdale, CA 93656
Billing Address
Adventist Medical Center - Reedley
372 W. Cypress Ave
Reedley, CA 93654
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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