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DSH500003BH SKAGIT VALLEY HOSPITAL (Terminated)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Skagit Regional Clinics Smokey Point Neurology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003BH
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/4/2022
Last Recertification Date
8/12/2024
Termination Date
Termination Reason
10/1/2024
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Public Hospital District No. 1, Skagit County, dba Skagit Regional Health
Tamara L Cesena, Chief Financial Officer
(360) 445-8512
Primary Contact
Skagit Valley Hospital
Alma K Martinez, 340B Program Manager
(360) 814-5001
Addresses
Street Address
3823 172nd St NE
Arlington, WA 98223
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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