340B Drug Pricing Program Database


RRC050145-14 COMMUNITY HOSP. MONTEREY PENINSULA (Active) - information as of 4/27/2025 1:48:51 AM

Main Details
COMMUNITY HOSP. MONTEREY PENINSULA
Hartnell Professional Center - Hartnell Professional Center
Rural Referral Center
Yes
RRC050145-14
050145


Additional Details
Active
1/15/2024
4/1/2024
3/8/2024
8/26/2024

Contacts

Community Hospital of the Monterey Peninsula
Matthew Thomas Morgan, CFO
(831) 625-4965

Community Hospital of the Monterey Peninsula
Gregg Olson, Director of Pharmacy
(831) 625-4613

Addresses

576 Hartnell Street
Monterey, CA 93940

Community Hospital of the Monterey Peninsula
23625 Holman Highway
Monterey, CA 93940


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CAHPC01501G,HSP40145F,ZZR00145F1508854423,1598754491,1679562169,1558611780,1932197258,1770145682,1225285810,1295742229
CO141551411932197258
OR0001911932197258
WI1002232571932197258
FL9565381932197258
AZ0272781932197258
WA10225561932197258
NV 1932197258
AL 1932197258
ID 1932197258
TX 1932197258
IA 1932197258
TN 1932197258
GA 1932197258
IL 1932197258
LA 1932197258
MI 1932197258
MN 1932197258
Shipping Addresses

Community Hospital of the Monterey Peninsula
23625 Holman Highway
Monterey, CA 93940
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
RRC050145-01ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARehabilitation Services - Marina - Rehabilitation Services - Marina2920 2nd AvenueMarinaCAActive
RRC050145-02ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULALaboratory - Ryan Ranch - Laboratory - Ryan Ranch2 Upper Ragsdale Drive, Building DMontereyCAActive
RRC050145-03ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAHospice of the Central Coast - Hospice of the Central Coast30 Ryan CourtMontereyCAActive
RRC050145-04ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAMontage Wellness Center - Salinas - Montage Wellness Center - Salinas1910 N Davis RoadSalinasCAActive
RRC050145-05ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULASleep Disorders Center - Sleep Disorders Center2 Upper Ragsdale Drive, Building DMontereyCAActive
RRC050145-06ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAOhana Center for Child and Adolescent Behavioral Health - Ohana Center for Child and Adolescent Behavioral Health6 Lower Ragsdale DriveMontereyCAActive
RRC050145-07ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULACommunity Imaging Center - X RAY - Community Imaging Center - X RAY2 Upper Ragsdale Drive, Building DMontereyCAActive
RRC050145-08ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULADiabetes and Nutrition Therapy - Diabetes and Nutrition Therapy2 Upper Ragsdale Drive, Building DMontereyCAActive
RRC050145-09ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULATyler Heart Institute Cardiovascular Test Center - Tyler Heart Institute Cardiovascular Test Center2 Upper Ragsdale Drive, Building CMontereyCAActive
RRC050145-10ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULACarol Hatton Breast Care Center - Carol Hatton Breast Care Center2 Upper Ragsdale Drive, Building CMontereyCAActive
RRC050145-11ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULACardiopulmonary Wellness - Cardiopulmonary Wellness2090 2nd AvenueMarinaCAActive
RRC050145-12ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULACommunity Imaging Center - MRI - Community Imaging Center - MRI2 Upper Ragsdale Drive, Building DMontereyCAActive
RRC050145-13ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAGenetic Risk Assessment - Genetic Risk Assessment2 Upper Ragsdale Drive, Building CMontereyCAActive
RRC050145-14ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAHartnell Professional Center - Hartnell Professional Center576 Hartnell StreetMontereyCAActive
RRC050145-15ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAOutpatient Behavioral Health Services - Outpatient Behavioral Health Services576 Hartnell StreetMontereyCAActive
RRC050145-16ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULACommunity Imaging Center - CT - Community Imaging Center - CT2 Upper Ragsdale Drive, Building DMontereyCAActive
RRC050145-17ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARecovery Center - Recovery Center576 Hartnell StreetMontereyCAActive
RRC050145-18ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARehabilitation Services - Salinas - Rehabilitation Services - Salinas1910 North Davis RoadSalinasCAActive
RRC050145-19ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARehabilitation Services - Monterey - Rehabilitation Services - Monterey576 Hartnell StreetMontereyCAActive
RRC050145-20ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULALaboratory - Carmel - Laboratory - Carmel256 Crossroads Blvd Rio Road and Highway 1CarmelCAActive
RRC050145-21ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULALaboratory - Marina - Laboratory - Marina2930 2nd AvenueMarinaCAActive
RRC050145-22ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULALaboratory - Monterey - Laboratory - Monterey576 Hartnell StreetMontereyCAActive
RRC050145-23ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARadiology Services - Marina - Radiology Services - Marina2930 2nd AvenueMarinaCAActive
RRC050145-24ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARadiology Services at Hartnell Professional Center - Monterey - Radiology Services at Hartnell Professional Center - Monterey576 Hartnell StreetMontereyCAActive
RRC050145-25ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULACarmel Hill Professional Center Supportive and Palliative Care - Carmel Hill Professional Center Supportive and Palliative Care23845 Holman HighwayMontereyCAActive
RRC050145-26ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAHartnell Professional Center MRI Imaging - Hartnell Professional Center MRI Imaging576 Hartnell StreetMontereyCAActive
RRC050145-27ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAHartnell Professional Center CT Imaging - Hartnell Professional Center CT Imaging576 Hartnell StreetMontereyCAActive
RRC050145-28ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAHartnell Professional Center Ultrasound Imaging - Hartnell Professional Center Ultrasound Imaging576 Hartnell StreetMontereyCAActive
RRC050145-29ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULAMarina Ultrasound Imaging - Marina Ultrasound Imaging2930 2nd AvenueMarinaCAActive
RRC050145-30ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARyan Ranch Ultrasound Imaging - Ryan Ranch Ultrasound Imaging2 Upper Ragsdale Drive, Building DMontereyCAActive
RRC050145-31ChildRRCCOMMUNITY HOSP. MONTEREY PENINSULARyan Ranch PET CT Imaging - Ryan Ranch PET CT Imaging2 Upper Ragsdale Drive, Building DMontereyCAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberInsertGroup Change Request 122528581010/30/2024 1:20 PM
Medicaid BillingNPI: StateInsertGroup Change Request CA10/30/2024 1:20 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 129574222910/30/2024 1:20 PM
Medicaid BillingNPI: StateInsertGroup Change Request CA10/30/2024 1:20 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False10/10/2024 11:00 AM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 02727810/10/2024 11:00 AM
Medicaid BillingMedicaid: StateInsertGroup Change Request AZ10/10/2024 11:00 AM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False10/10/2024 11:00 AM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 102255610/10/2024 11:00 AM
Medicaid BillingMedicaid: StateInsertGroup Change Request WA10/10/2024 11:00 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 193219725810/10/2024 11:00 AM
Medicaid BillingNPI: StateInsertGroup Change Request AZ10/10/2024 11:00 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 193219725810/10/2024 11:00 AM
Medicaid BillingNPI: StateInsertGroup Change Request GA10/10/2024 11:00 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 193219725810/10/2024 11:00 AM
Medicaid BillingNPI: StateInsertGroup Change Request IL10/10/2024 11:00 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 193219725810/10/2024 11:00 AM
Medicaid BillingNPI: StateInsertGroup Change Request LA10/10/2024 11:00 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 193219725810/10/2024 11:00 AM
Medicaid BillingNPI: StateInsertGroup Change Request MI10/10/2024 11:00 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 193219725810/10/2024 11:00 AM
Medicaid BillingNPI: StateInsertGroup Change Request MN10/10/2024 11:00 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 193219725810/10/2024 11:00 AM
Medicaid BillingNPI: StateInsertGroup Change Request WA10/10/2024 11:00 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2024 5:53 PM
Medicaid BillingMedicaid: NumberInsertRecertification 141551418/26/2024 5:53 PM
Medicaid BillingMedicaid: StateInsertRecertification CO8/26/2024 5:53 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2024 5:53 PM
Medicaid BillingMedicaid: NumberInsertRecertification 0001918/26/2024 5:53 PM
Medicaid BillingMedicaid: StateInsertRecertification OR8/26/2024 5:53 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2024 5:53 PM
Medicaid BillingMedicaid: NumberInsertRecertification 1002232578/26/2024 5:53 PM
Medicaid BillingMedicaid: StateInsertRecertification WI8/26/2024 5:53 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2024 5:53 PM
Medicaid BillingMedicaid: NumberInsertRecertification 9565388/26/2024 5:53 PM
Medicaid BillingMedicaid: StateInsertRecertification FL8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification NV8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification CO8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification OR8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification AL8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification ID8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification WI8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification TX8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification FL8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification IA8/26/2024 5:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19321972588/26/2024 5:53 PM
Medicaid BillingNPI: StateInsertRecertification TN8/26/2024 5:53 PM
DetailsLast Recertification DateUpdateRecertification 8/26/2024 5:53:34 PM8/26/2024 5:53 PM
DetailsStateUpdate ApprovedActive4/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration Morgan, Matthew Thomas CFO Community Hospital of the Monterey Peninsula 83162549653/8/2024 8:04 AM
Details340B IDUpdateNew Registration RRC050145-143/8/2024 8:04 AM
DetailsEntity SubnameUpdateNew RegistrationHartnell Professional CenterHartnell Professional Center - Hartnell Professional Center3/8/2024 8:04 AM
DatesParticipating Approval DateUpdateNew Registration 3/8/2024 8:04:17 AM3/8/2024 8:04 AM
DetailsStateUpdateNew RegistrationPendingApproved3/8/2024 8:04 AM
DatesSigned By DateUpdateNew Registration 1/16/2024 11:39:30 AM3/8/2024 8:04 AM
DatesStart DateUpdateNew Registration 4/1/2024 12:00:00 AM3/8/2024 8:04 AM
AddressesMain AddressInsertNew Registration  576 Hartnell Street Monterey, CA 939401/15/2024 12:21 PM
AddressesBilling AddressInsertNew Registration Community Hospital of the Monterey Peninsula 23625 Holman Highway Monterey, CA 939401/15/2024 12:21 PM
AddressesShipping AddressInsertNew Registration Community Hospital of the Monterey Peninsula 23625 Holman Highway Monterey, CA 939401/15/2024 12:21 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/15/2024 12:21 PM
Medicaid BillingMedicaid: NumberInsertNew Registration HPC01501G1/15/2024 12:21 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/15/2024 12:21 PM
Medicaid BillingMedicaid: NumberInsertNew Registration HSP40145F1/15/2024 12:21 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/15/2024 12:21 PM
Medicaid BillingMedicaid: NumberInsertNew Registration ZZR00145F1/15/2024 12:21 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingNPI: NumberInsertNew Registration 15088544231/15/2024 12:21 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingNPI: NumberInsertNew Registration 15987544911/15/2024 12:21 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingNPI: NumberInsertNew Registration 16795621691/15/2024 12:21 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingNPI: NumberInsertNew Registration 15586117801/15/2024 12:21 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingNPI: NumberInsertNew Registration 19321972581/15/2024 12:21 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/15/2024 12:21 PM
Medicaid BillingNPI: NumberInsertNew Registration 17701456821/15/2024 12:21 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/15/2024 12:21 PM
ContactsAuthorizing OfficialInsertNew Registration Morgan, Matthew Thomas CFO Community Hospital of the Monterey Peninsula 83162549651/15/2024 12:21 PM
ContactsPrimary ContactInsertNew Registration Olson, Gregg Director of Pharmacy Community Hospital of the Monterey Peninsula 83162546131/15/2024 12:21 PM
DetailsAssistance Received From DateInsertNew Registration  1/15/2024 12:21 PM
DetailsAssistance Received To DateInsertNew Registration  1/15/2024 12:21 PM
DetailsLast Recertification DateInsertNew Registration  1/15/2024 12:21 PM
DetailsGrant NumberInsertNew Registration  1/15/2024 12:21 PM
Details340B IDInsertNew Registration  1/15/2024 12:21 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/15/2024 12:21 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/15/2024 12:21 PM
DetailsMedicare Provider NumberInsertNew Registration 0501451/15/2024 12:21 PM
DetailsEntity NameInsertNew Registration COMMUNITY HOSP. MONTEREY PENINSULA1/15/2024 12:21 PM
DetailsNOFO NumberInsertNew Registration  1/15/2024 12:21 PM
DetailsProgram CodeInsertNew Registration RRC1/15/2024 12:21 PM
DetailsEntity SubnameInsertNew Registration Hartnell Professional Center1/15/2024 12:21 PM
DatesParticipating Approval DateInsertNew Registration  1/15/2024 12:21 PM
DetailsStateInsertNew Registration Pending1/15/2024 12:21 PM
DatesRegistration DateInsertNew Registration 1/15/2024 12:21:01 PM1/15/2024 12:21 PM
DatesSigned By DateInsertNew Registration  1/15/2024 12:21 PM
DatesStart DateInsertNew Registration  1/15/2024 12:21 PM
TerminationsTermination CommentsInsertNew Registration  1/15/2024 12:21 PM
TerminationsTermination DateInsertNew Registration  1/15/2024 12:21 PM
TerminationsTermination Effective DateInsertNew Registration  1/15/2024 12:21 PM
TerminationsTermination ReasonInsertNew Registration  1/15/2024 12:21 PM