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DSH500129CN TACOMA GENERAL/ALLENMORE HOSPITAL (Active)
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Main Details
Name
TACOMA GENERAL/ALLENMORE HOSPITAL
Subdivision Name
Tacoma General Emergency - Federal Way - TG Off Campus ED - FW
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500129CN
Medicare Provider Number
500129
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/10/2022
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
MultiCare Health System
Timothy Wayne Lynch, Sr. VP, Chief Administrative Officer
(253) 403-2824
Primary Contact
MultiCare Health System
Cindy Wilson, Assistant Vice President - Pharmacy Compliance
(253) 403-2822
Addresses
Street Address
29805 Pacific Hwy S
Federal Way, WA 98003
Billing Address
MultiCare Health System
PO Box 5299
MS 1313-5-AP
Tacoma, WA 98415
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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