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DSH500027BJ SWEDISH MEDICAL CENTER (Terminated)
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Main Details
Name
SWEDISH MEDICAL CENTER
Subdivision Name
SWEDISH IMAGING CLINICS - MillCreek/23576306
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500027BJ
Medicare Provider Number
500027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/28/2020
Last Recertification Date
9/5/2022
Termination Date
Termination Reason
4/1/2023
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Swedish Medical Center
Marybeth Formby, Chief Financial Officer
(206) 386-3033
Primary Contact
Providence/Swedish
Melisa G Lea, 340B Program Manager
(206) 756-0546
Addresses
Street Address
13020 MERIDIAN AVE S
EVERETT, WA 98208-6468
Billing Address
Providence St Joseph Health
PO BOX 31263
Salt Lake City, UT 84131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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