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DSH050192AL Reedley Community Hospital dba Adventist Health Reedley (Active)
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Main Details
Name
Reedley Community Hospital dba Adventist Health Reedley
Subdivision Name
AHCC Specialty Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050192AL
Medicare Provider Number
050192
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/30/2015
Last Recertification Date
9/3/2024
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
1025 N. Douty street
Hanford, CA 93230
Billing Address
Adventist Medical Center Reedley
372 W Cypress Ave
Reedley, CA 93654
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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