340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050128L TRI-CITY MEDICAL CENTER (Active)
Print
Main Details
Name
TRI-CITY MEDICAL CENTER
Subdivision Name
TRI CITY MEDICAL CENTER - Outpatient Behavioral Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050128L
Medicare Provider Number
050128
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/15/2024
Last Recertification Date
Contacts
Authorizing Official
Tri-City Medical Center
Janice Gurley, Chief Financial Officer
(760) 940-5605
Primary Contact
Tri-City Medical Center
Julie Ann Abraham, Director of Pharmacy
(760) 940-3018
Addresses
Street Address
510 W VISTA WAY
VISTA, CA 92083-5704
Billing Address
Tri-City Medical Center
4002 Vista Way
Oceanside, CA 92056
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session