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DSH500088AC PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTER (Active)
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Main Details
Name
PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTER
Subdivision Name
VMC Primary Care Clinics - Senior Care and Internal Medicine Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500088AC
Medicare Provider Number
500088
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/4/2018
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Public Hospital District No 1 of King County
Jeannine Grinnell, Chief Executive and Financial Officer
(425) 690-3310
Primary Contact
Public Hospital District No. 1 of King County
Kenneth Kenyon, VP Pharmacy Services
(425) 690-3155
Addresses
Street Address
4033 Talbot Road South
Suite 570
Renton, WA 98055
Billing Address
Public Hospital District No. 1 of King County DBA Valley Medical Center
PO Box 50010
400 South 43rd Street
Renton, WA 98058
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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