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DSH050192AS Reedley Community Hospital dba Adventist Health Reedley (Active)
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Main Details
Name
Reedley Community Hospital dba Adventist Health Reedley
Subdivision Name
Community Care Oakhurst
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050192AS
Medicare Provider Number
050192
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/19/2016
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
48677 Victoria Lane
Oakhurst, CA 93644
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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