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YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIAT
DSH500044 DEACONESS MEDICAL CENTER
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Covered Entity Details
Entity Name
DEACONESS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500044
Entity Address
800 W 5TH AVENUE
SPOKANE, WA 99204
Medicare Provider Number
500044
Participating Start Date
1/1/2019
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIAT
Pharmacy Address
MULTICARE CANCER CENTER PHARMACY - NORTH
808 N. 39TH AVE
YAKIMA, WA 98902
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Timothy Wayne Lynch, Sr. VP, Chief Administrative Officer
(253) 403-2824
Contract Pharmacy Representative
Yakima Valley Memorial Hospital
Michael Hull, AVP Pharmacy Business Development and Operations
(509) 249-5227
Signed By Date
1/16/2024
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