340B Drug Pricing Program Database
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DSH500064BY HARBORVIEW MEDICAL CENTER (Active)
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Main Details
Name
HARBORVIEW MEDICAL CENTER
Subdivision Name
WA-STR MAT - OBOT RESPONSE CLINIC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500064BY
Medicare Provider Number
500064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/4/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/16/2024
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
UW Medicine
Jacqueline L Cabe, Chief Financial Officer
(206) 616-9886
Primary Contact
UW Medicine
Sumona Patel, Pharmacy Audit and Compliance Manager
(206) 598-6936
Addresses
Street Address
401 Broadway St
Seattle, WA 98104
Billing Address
UW Medicine
PO BOX 45404
Seattle, WA 98145
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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