340B Drug Pricing Program Database
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DSH500003AU SKAGIT VALLEY HOSPITAL (Active)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Mount Vernon Surgery Center Gastroenterology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003AU
Medicare Provider Number
500003
Outpatient Facility Provider Number
500003
Additional Details
Current Program Status
Active
Registration Date
7/10/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Public Hospital District No. 1, Skagit County, dba Skagit Regional Health
Tamara L Cesena, Chief Financial Officer
(360) 445-8512
Primary Contact
Skagit Valley Hospital
Alma K Martinez, 340B Program Manager
(360) 814-5001
Addresses
Street Address
211 S. 13th St.
Mount Vernon, WA 98274
Billing Address
Skagit Regional Health
PO Box 1376
Mount Vernon, WA 98273
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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