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CAH501319-03 LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH (Active)
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Main Details
Name
LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH
Subdivision Name
Womens Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501319-03
Medicare Provider Number
501319
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/4/2016
Participating Start Date
1/1/2017
Participating Approval Date
12/8/2016
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
A
Clint Scogin, Controller
(360) 496-3713
Primary Contact
Morton General Hospital
Shana Garcia, Executive Assistant
(360) 496-3537
Addresses
Street Address
521 Adams Avenue
PO Box 1138
Morton, WA 98356
Billing Address
Morton General Hospital Womens Clinic
PO Box 1138
Morton, WA 98356
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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