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SCH500033-03 SAMARITAN HEALTHCARE (Active)
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Main Details
Name
SAMARITAN HEALTHCARE
Subdivision Name
Samaritan Healthcare - Family Medicine
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH500033-03
Medicare Provider Number
500033
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/29/2021
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Samaritan Healthcare
Alexander Town, Chief Financial Officer
(509) 793-9710
Primary Contact
Samaritan Healthcare
Teresa Gall, Senior Accountant
(509) 765-5606
Addresses
Street Address
1550 S Pioneer Way STE 150/165
Moses Lake, WA 98837
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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