340B Drug Pricing Program Database
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DSH050276V CONTRA COSTA REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
CONTRA COSTA REGIONAL MEDICAL CENTER
Subdivision Name
DeAnza High School - Family Practice/Dental
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050276V
Medicare Provider Number
050276
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/24/2024
Last Recertification Date
Contacts
Authorizing Official
Contra Costa Health Services
Brian Buchanan, Interim Chief Financial Officer
(925) 957-5410
Primary Contact
Contra Costa Health
Robert H De Cesare, Fiscal Manager
(925) 957-5429
Addresses
Street Address
5000 Valley View Rd
Richmond, CA 94803
Billing Address
Contra Costa Regional Medical Center Outpatient Pharmacy
2500 Alhambra Ave
Building 1
Martinez, CA 94553-3156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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