340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050678K ORANGE COAST MEMORIAL MEDICAL CENTER (Active)
Print
Main Details
Name
ORANGE COAST MEMORIAL MEDICAL CENTER
Subdivision Name
MEMORIALCARE ORANGE COAST MEDICAL C - OCM Radiation Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050678K
Medicare Provider Number
050678
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/6/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/6/2025
Last Recertification Date
Contacts
Authorizing Official
Orange Coast Memorial Medical Center
Emily Marcus Randle, COO
(714) 378-7538
Primary Contact
Orange Coast Memorial Medical Center
Stanley Hill, DIRECTOR OF PHARMACY
(714) 378-7012
Addresses
Street Address
18111 BROOKHURST ST
STE 0300
FOUNTAIN VALLEY, CA 92708-6728
Billing Address
Orange Coast Memorial Medical Center
9920 Talbert Ave
Fountain Valley, CA 92708
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.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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