340B Drug Pricing Program Database
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DSH500044K DEACONESS MEDICAL CENTER (Terminated)
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Main Details
Name
DEACONESS MEDICAL CENTER
Subdivision Name
Multicare Neuroscience Institute Neurology Center - Multicare Neuroscience Institute Neurology Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500044K
Medicare Provider Number
500044
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/2/2020
Participating Start Date
4/15/2020
Participating Approval Date
4/15/2020
Last Recertification Date
9/9/2020
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
MULTICARE HEALTH SYSTEM
Florence Chang, President
(253) 403-7355
Primary Contact
Multicare Health System
LeeAnn Scheer, Director of Pharmacy Supply Chain and 340B
(512) 789-8341
Addresses
Street Address
910 W 5th Ave
#1000
Spokane, WA 99204
Billing Address
MULTICARE HEALTH SYSTEM
PO Box 5299
MS 1313-5-AP
Tacoma, WA 98415-0299
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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