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CAH501334-00 LAKE CHELAN COMMUNITY HOSPITAL (Active)
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Main Details
Name
LAKE CHELAN COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH501334-00
Medicare Provider Number
501334
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/13/2015
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Lake Chelan Health (Chelan County Public Hospital District No. 2)
Aaron Christopher Edwards, CEO
(509) 682-8503
Primary Contact
VBODLE@LCCH.NET
Vickie Bodle, Controller
(509) 682-6105
Addresses
Street Address
110 S Apple Blossom Dr.
CHELAN, WA 98816
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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