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RRC050145-00 COMMUNITY HOSP. MONTEREY PENINSULA (Active)
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Main Details
Name
COMMUNITY HOSP. MONTEREY PENINSULA
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC050145-00
Medicare Provider Number
050145
Additional Details
Current Program Status
Active
Registration Date
1/9/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/26/2024
Last Recertification Date
9/23/2024
Contacts
Authorizing Official
Community Hospital of the Monterey Peninsula
Matthew Thomas Morgan, CFO
(831) 625-4965
Primary Contact
Community Hospital of the Monterey Peninsula
Gregg Olson, Director of Pharmacy
(831) 625-4613
Addresses
Street Address
23625 HOLMAN HWY
MONTEREY, CA 93940
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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