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CAH501339-05 WHIDBEY GENERAL HOSPITAL (Active)
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Main Details
Name
WHIDBEY GENERAL HOSPITAL
Subdivision Name
WHIDBEYHEALTH - RHC Primary Care Freeland
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501339-05
Medicare Provider Number
501339
Outpatient Facility Provider Number
508585
Additional Details
Current Program Status
Active
Registration Date
10/8/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/1/2019
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
WhidbeyHealth Medical Center
Garth Allen Miller, COO
(360) 678-7656 Ext: 3802
Primary Contact
Whidbey General Hospital
Joshua Caleb Smith, Director of Pharmacy
(360) 678-7656 Ext: 3700
Addresses
Street Address
5486 HARBOR AVE
FREELAND, WA 98249-3002
Billing Address
Whidbey Island Public Hospital District
101 N MAIN ST
Inpatient Pharmacy
COUPEVILLE, WA 98239
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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