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DSH030013BS YUMA REGIONAL MEDICAL CENTER (Approved)
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Main Details
Name
YUMA REGIONAL MEDICAL CENTER
Subdivision Name
YRMC Pediatric Subspecialty Clinics - YRMC Pediatric Subspecialty Clinics
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030013BS
Medicare Provider Number
030013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/29/2025
Last Recertification Date
Contacts
Authorizing Official
Yuma Regional Medical Center
Vernon Moore, Chief Financial Officer
(928) 336-7015
Primary Contact
Yuma Regional Medical Center
Mark Jordan, Directory of Pharmacy
(928) 336-7815
Addresses
Street Address
2851 S. Ave B, Bldg. 25, Suite 2504
70770 - 10208026 - 10208032 - 10208039 - 10208037 - 10208006 - 10208033 - 10208038 - 10208040 - 10208073
Yuma, AZ 85364
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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