340B Drug Pricing Program Database
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CAN050146-09 CITY OF HOPE NATIONAL MEDICAL CENTER (Active)
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Main Details
Name
CITY OF HOPE NATIONAL MEDICAL CENTER
Subdivision Name
CITY OF HOPE ORANGE COUNTY - OC NMC RADIATION ONCOLOGY
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN050146-09
Medicare Provider Number
050146
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/8/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/23/2024
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
City of Hope
Wafa Samara, CPO
(626) 218-4936
Primary Contact
City of Hope
Jamie Jove Lee, Director, 340B Program
(626) 218-3236
Addresses
Street Address
1000 FIVEPOINT
IRVINE, CA 92618
Billing Address
CITY OF HOPE NATIONAL MEDICAL CENTER
1500 E. DUARTE RD
DUARTE, CA 91010
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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