340B Drug Pricing Program Database
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DSH500003BA SKAGIT VALLEY HOSPITAL (Terminated)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Skagit Regional Clinics - Benson Medical Group Family Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003BA
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/26/2018
Last Recertification Date
9/8/2022
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Public Hospital District No. 1, Skagit County, dba Skagit Regional Health
Tamara L Cesena, Chief Financial Officer
(360) 445-8512
Primary Contact
Skagit Valley Hospital.
Alma Martinez, 340B Program Manager
(360) 814-5001
Addresses
Street Address
110 N Laventure Rd, Suite C
Mount Vernon, WA 98273
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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