340B Drug Pricing Program Database
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DSH500058AB Kadlec Regional Medical Center (Terminated)
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Main Details
Name
Kadlec Regional Medical Center
Subdivision Name
Center for Peds
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500058AB
Medicare Provider Number
500058
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/24/2017
Last Recertification Date
9/8/2020
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Kadlec Regional Medical Center
Spencer Dwayne Harris, CFO
(509) 942-2708
Primary Contact
Kadlec Regional Medical Center
C.J. Cahoon, Director of Pharmacy
(509) 946-4611 Ext: 4263
Addresses
Street Address
8108 W. Grandridge Blvd.
Kennewick, WA 99336
Billing Address
Kadlec Regional Medical Center
888 Swift Blvd
Attn: Pharmacy Dept
Richland, WA 99352
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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