340B Drug Pricing Program Database
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PED503300-27 SEATTLE CHILDREN'S HOSPITAL (Active)
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Main Details
Name
SEATTLE CHILDREN'S HOSPITAL
Subdivision Name
South Rehab Services
Type
Children's Hospital
Rural
No
340B ID
PED503300-27
Medicare Provider Number
503300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/17/2018
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Seattle Children's Hospital
Warren E Hewitt, VP, Finance and Chief Accounting Officer
(206) 884-2378
Primary Contact
Seattle Children's Hospital
Marlon E Carrillo-Bustamante, 340B Program Analyst
(206) 412-9720
Addresses
Street Address
34920 ENCHANTED PKWY S
FEDERAL WAY, WA 98003-8325
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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