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DSH050192AH Reedley Community Hospital dba Adventist Health Reedley (Active)
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Main Details
Name
Reedley Community Hospital dba Adventist Health Reedley
Subdivision Name
Adventist Health/Community Care Coalinga
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050192AH
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
155 S. Fifth Street
Coalinga, CA 93210
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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