340B Drug Pricing Program Database
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DSH500064BJ HARBORVIEW MEDICAL CENTER (Active)
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Main Details
Name
HARBORVIEW MEDICAL CENTER
Subdivision Name
MRI MAGNETIC RESONANCE IMAGING - MRI
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500064BJ
Medicare Provider Number
500064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/13/2019
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
UW Medicine
Jacqueline L Cabe, Chief Financial Officer
(206) 616-9886
Primary Contact
UW Medicine
Sumona Patel, Pharmacy Audit and Compliance Manager
(206) 598-6936
Addresses
Street Address
908 Jefferson St.
Seattle, WA 98104
Billing Address
UW Medicine
PO BOX 45404
Seattle, WA 98145
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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