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CAH501321-01 NORTH VALLEY HOSPITAL (Active)
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Main Details
Name
NORTH VALLEY HOSPITAL
Subdivision Name
OKANOGAN COUNTY PUBLIC HOSPITAL DIS - Tonasket Family Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501321-01
Medicare Provider Number
501321
Outpatient Facility Provider Number
508594
Additional Details
Current Program Status
Active
Registration Date
4/1/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/5/2021
Last Recertification Date
8/12/2024
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
118 N WHITCOMB AVE
TONASKET, WA 98855-8829
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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