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DSH500058C Kadlec Regional Medical Center (Active)
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Main Details
Name
Kadlec Regional Medical Center
Subdivision Name
OPIC Nuclear Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500058C
Medicare Provider Number
500058
Outpatient Facility Provider Number
500058
Additional Details
Current Program Status
Active
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Kadlec Regional Medical Center
Spencer Dwayne Harris, CFO
(509) 942-2708
Primary Contact
Kadlec Regional Medical Center
C.J. Cahoon, Director of Pharmacy
(509) 946-4611 Ext: 4263
Addresses
Street Address
945 Goethals Drive
Richland, WA 99352
Billing Address
Kadlec Regional Medical Center
888 Swift Boulevard
Attn: Pharmacy Dept
Richland, WA 99352
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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