340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC500039-13 HARRISON MEDICAL CENTER (Terminated)
Print
Main Details
Name
HARRISON MEDICAL CENTER
Subdivision Name
HARRISON MEDICAL CENTER - Harrison Bainbridge Urgent Care
Type
Rural Referral Center
Rural
No
340B ID
RRC500039-13
Medicare Provider Number
500039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/21/2018
Last Recertification Date
8/16/2018
Termination Date
Termination Reason
10/1/2018
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
CHI Franciscan Health
Mike Fitzgerald, CFO
(253) 680-4005
Primary Contact
CHI Franciscan Health
Cindy Wilson, 340B Program Manager
(253) 426-6692
Addresses
Street Address
8804 MADISON AVE NE STE 100
BAINBRIDGE ISLAND, WA 98110-1815
Billing Address
Harrison Medical Center
PO Box 63600
Littleton, CO 80163-6000
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session