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CAH501315-01 Klickitat County Public Hospital District #2, d/b/a Skyline Hospital (Active)
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Main Details
Name
Klickitat County Public Hospital District #2, d/b/a Skyline Hospital
Subdivision Name
Skyline Medical Clinic - Outpatient Service
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501315-01
Medicare Provider Number
501315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/18/2017
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Skyline Hospital
Brenda Schneider, CFO
(509) 637-2901
Primary Contact
Skyline Hospital
Amy Knowles, Pharmacy Manager
(509) 637-2812
Addresses
Street Address
212 NE Skyline Dr.
White Salmon, WA 98672
Billing Address
Skyline Hospital
PO Box 99
White Salmon, WA 98672
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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