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PIONEER MEDICAL CENTER
DSH500033 SAMARITAN HOSPITAL
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Covered Entity Details
Entity Name
SAMARITAN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500033
Entity Address
801 E WHEELER ROAD
MOSES LAKE, WA 98837
Medicare Provider Number
500033
Participating Start Date
1/1/2009
Last Recertification Date
8/20/2019
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
PIONEER MEDICAL CENTER
Pharmacy Address
PHARMACY
1550 SOUTH PIONEER WAY STE 105
PO BOX 1296
MOSES LAKE, WA 98837
Pharmacy Comments
Contract Details
Approval Date
1/20/2012
Contract Begin Date
1/20/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Thomas J. Legel, CFO
(509) 793-9710
Contract Pharmacy Representative
David Thomas, Owner
(509) 765-8891
Signed By Date
1/10/2012
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