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CAH501319-05 LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH (Active)
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Main Details
Name
LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH
Subdivision Name
RAPID CARE CLINIC - Walk in clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501319-05
Medicare Provider Number
501319
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/17/2023
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
A
Clint Scogin, Controller
(360) 496-3713
Primary Contact
A
Clint Scogin, Controller
(360) 496-3713
Addresses
Street Address
521 Adams Ave
Morton, WA 98356
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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