340B Drug Pricing Program Database
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DSH500058P Kadlec Regional Medical Center (Active)
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Main Details
Name
Kadlec Regional Medical Center
Subdivision Name
KNC Pain Management
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500058P
Medicare Provider Number
500058
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
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
1100 Goethals Drive
Suite B
Richland, WA 99352
Billing Address
Kadlec Regional Medical Center
PO Box 389673
Seattle, WA 98138
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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