340B Drug Pricing Program Database
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DSH500058AX Kadlec Regional Medical Center (Active)
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Main Details
Name
Kadlec Regional Medical Center
Subdivision Name
KADLEC CLINIC PLASTIC SURGERY & DERMATOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500058AX
Medicare Provider Number
500058
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/27/2018
Last Recertification Date
8/23/2024
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
104 COLUMBIA POINT DR
RICHLAND, WA 99352-4387
Billing Address
Kadlec Regional Medical Center
PO Box 389673
Seattle, WA 98138
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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