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DSH500027AR SWEDISH MEDICAL CENTER (Terminated)
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Main Details
Name
SWEDISH MEDICAL CENTER
Subdivision Name
OUTPATIENT PHYSICAL THERAPY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500027AR
Medicare Provider Number
500027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/15/2015
Last Recertification Date
8/23/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Swedish Health Services
Pam Gallagher Felt, CFO Swedish Dwtwn Acute PSJH
(206) 628-2541
Primary Contact
Swedish Health Services
Jim Lacy, System Director of Pharmacy Services
(206) 320-2276
Addresses
Street Address
1101 MADISON STREET
SUITE 200
SEATTLE, WA 98104-1306
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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