340B Drug Pricing Program Database
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DSH500003AX SKAGIT VALLEY HOSPITAL (Active)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Skagit Regional Clinics Infectious Disease
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003AX
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/12/2017
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Public Hospital District No. 1, Skagit County, dba Skagit Regional Health
Tamara L Cesena, Chief Financial Officer
(360) 445-8512
Primary Contact
Skagit Valley Hospital
Alma K Martinez, 340B Program Manager
(360) 814-5001
Addresses
Street Address
1400 East Kincaid
Mount Vernon, WA 98274
Billing Address
Skagit Regional Health
PO Box 1376
Mount Vernon, WA 98273
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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