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DSH050225U Adventist Health Feather River (Terminated)
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Main Details
Name
Adventist Health Feather River
Subdivision Name
Chico Specialty Health and Diagnostics Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050225U
Medicare Provider Number
050225
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
8/30/2018
Termination Date
Termination Reason
7/1/2019
Site closure
Contacts
Authorizing Official
Adventist Health Castle
Ryan Ashlock, CEO
(808) 263-5142
Primary Contact
Feather River Hospital
Heather Barber, Director of Pharmacy
(530) 876-7978
Addresses
Street Address
111 Raley Blvd Suite 160
Chico, CA 95928-8351
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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