340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050180C JOHN MUIR MEDICAL CENTER - WC (Approved)
Print
Main Details
Name
JOHN MUIR MEDICAL CENTER - WC
Subdivision Name
MEDICAL IMAGING WC OSC - WCMC MRI
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050180C
Medicare Provider Number
050180
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/3/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/21/2025
Last Recertification Date
Contacts
Authorizing Official
John Muir Health
Zach Harris, VP Ancillary Services
(808) 457-0157
Primary Contact
John Muir Health
Nikolai Tyler Dahl, Program Manager - Medication Utilization
(925) 947-3243
Addresses
Street Address
177 LA CASA VIA
STE 100
WALNUT CREEK, CA 94598-6101
Billing Address
Same as Street Address
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