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DSH500016R CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION DBA CONFLUENCE HEALTH HOSPITAL (Active)
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Main Details
Name
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION DBA CONFLUENCE HEALTH HOSPITAL
Subdivision Name
Professional Building - OB/GYN - OB/GYN
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500016R
Medicare Provider Number
500016
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/2/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/7/2019
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Confluence Health
Kelly M Allen, CNO/Administrator
(509) 433-3133
Primary Contact
Confluence Health
Kristy Clare, 340B Pharmacy System Administrator
(509) 662-1511 Ext: 32149
Addresses
Street Address
933 Red Apple Rd
Wenatchee, WA 98801
Billing Address
Confluence Health
PO Box 1885
Wenatchee, WA 98807
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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