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DSH500027BB SWEDISH MEDICAL CENTER (Active)
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Main Details
Name
SWEDISH MEDICAL CENTER
Subdivision Name
Swedish Organ Transplant and Liver Center / Liver Disease
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500027BB
Medicare Provider Number
500027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/23/2016
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Swedish Medical Center First Hill
Eric M Delgado, Chief Financial Officer
(562) 243-3861
Primary Contact
Providence/Swedish
Melisa G Lea, 340B Program Manager
(206) 756-0546
Addresses
Street Address
1124 Columbia St
Suite 600
Seattle, WA 98104
Billing Address
Providence St Joseph Health
PO BOX 31263
Salt Lake City, UT 84131-9673
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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