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DSH050192S Reedley Community Hospital dba Adventist Health Reedley (Terminated)
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Main Details
Name
Reedley Community Hospital dba Adventist Health Reedley
Subdivision Name
Outpatient MRI
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050192S
Medicare Provider Number
050192
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/31/2015
Last Recertification Date
9/6/2023
Termination Date
Termination Reason
7/1/2024
Other
Contacts
Authorizing Official
Adventist Health
Timothy Michael Haydock, CFO
(559) 537-0050
Primary Contact
Adventist Health
Ahmed Abukhazneh, Pharmacist, Charge
(559) 537-2190
Addresses
Street Address
372 W Cypress Ave
Reedley, CA 93654
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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