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MULTICARE MEDICAL CENTER ED PHARMACY
DSH500036 YAKIMA VALLEY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
YAKIMA VALLEY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500036
Entity Address
2811 TIETON DR.
YAKIMA, WA 98902
Medicare Provider Number
500036
Participating Start Date
12/1/1992
Last Recertification Date
8/17/2024
Pharmacy Details
Pharmacy Name
MULTICARE MEDICAL CENTER ED PHARMACY
Pharmacy Address
315 Martin Luther King Jr Way
Tacoma, WA 98405
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason Lee Mitchell, Interim CFO
(206) 304-9458
Contract Pharmacy Representative
Multicare Health System
Teresa Harberg, Director of Ambulatory Pharmacy
(253) 403-2283
Signed By Date
10/16/2023
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