340B Drug Pricing Program Database
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DSH500003BM SKAGIT VALLEY HOSPITAL (Active)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Skagit Regional Clinics - Stanwood Podiatry
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003BM
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/4/2024
Last Recertification Date
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
9631 269th St NW
Stanwood, WA 98292
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2023, terminated 10/1/2024. Reinstated 1/1/2025.
11/04/2024
May 2025
May 2025
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