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DSH500037 SHC Medical Center Toppenish (Active)
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Main Details
Name
SHC Medical Center Toppenish
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500037
Medicare Provider Number
500037
Additional Details
Current Program Status
Active
Registration Date
7/6/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/18/2018
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Astria Health
Sierra Foster, Assistant Administrator
(509) 790-7284
Primary Contact
SHC Medical Center Toppenish
Lani Steltz, Director of Pharmacy
(509) 865-1570
Addresses
Street Address
502 WEST 4TH AVENUE
TOPPENISH, WA 98948
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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