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RRC500039-05 ST. MICHAEL MEDICAL CENTER (Terminated)
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Main Details
Name
ST. MICHAEL MEDICAL CENTER
Subdivision Name
Silverdale Campus Surgery Ortho
Type
Rural Referral Center
Rural
No
340B ID
RRC500039-05
Medicare Provider Number
500039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/31/2017
Last Recertification Date
9/14/2020
Termination Date
Termination Reason
7/1/2021
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
CHI Franciscan Health
David Butcherite, CFO
(253) 680-4031
Primary Contact
St. Michael Medical Center (formerly Harrison Medical Center)
Charles C Ho, Director of Pharmacy
(714) 658-2517
Addresses
Street Address
1800 NW MYHRE ROAD
SILVERDALE, WA 98383-7663
Billing Address
Harrison Medical Center
2520 Cherry Avenue
Bremerton, WA 98310
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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