340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH500003AW SKAGIT VALLEY HOSPITAL (Terminated)
Print
Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Skagit Regional Clinics Sedro Woolley Family Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003AW
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/6/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
11/16/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Skagit Valley Hospital
Paul Ishizuka, CFO
(360) 814-5838
Primary Contact
Skagit Valley Hospital.
Alma Martinez, 340B Program Manager
(360) 814-5001
Addresses
Street Address
1990 HOSPITAL DR Suite 100
SEDRO WOOLLEY, WA 98284-9315
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session