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DSH050348CU UCI MEDICAL CENTER (Active)
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Main Details
Name
UCI MEDICAL CENTER
Subdivision Name
Irvine CAC - Neuroscience - CAC - Neuroscience
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050348CU
Medicare Provider Number
050348
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/6/2025
Last Recertification Date
Contacts
Authorizing Official
UCI Health
Chad Thurman Lefteris, CEO
(714) 714-1423
Primary Contact
UCI Health
Melanie Joe, Chief Pharmacy Officer
(714) 456-5514
Addresses
Street Address
19200 Jamboree Rd.
Irvine, CA 92612
Billing Address
UCI Health - Accounts Payable
P.O. Box C-11917
Santa Ana, CA 92711-1917
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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