340B Drug Pricing Program Database
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DSH500003T SKAGIT VALLEY HOSPITAL (Active)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Skagit Regional Clinics Urology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003T
Medicare Provider Number
500003
Outpatient Facility Provider Number
500003
Additional Details
Current Program Status
Active
Registration Date
7/10/2014
Participating Start Date
1/1/2016
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
1400 East Kincaid Street
Mount Vernon, WA 98274-4127
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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12/2/15 participating 10/1/14 until terminated effective 1/1/15, reinstated effective 1/1/16
12/02/2015
May 2025
May 2025
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