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CAH501321-00 NORTH VALLEY HOSPITAL (Active)
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Main Details
Name
NORTH VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501321-00
Medicare Provider Number
501321
Additional Details
Current Program Status
Active
Registration Date
7/3/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/11/2019
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
North Valley Hospital
John McReynolds, CEO
(509) 486-3128
Primary Contact
North Valley Hospital
Teresa Webber, Executive Assistant
(509) 486-3118
Addresses
Street Address
203 SOUTH WESTERN
TONASKET, WA 98855
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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