340B Drug Pricing Program Database
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DSH050276AW CONTRA COSTA REGIONAL MEDICAL CENTER (Approved)
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Main Details
Name
CONTRA COSTA REGIONAL MEDICAL CENTER
Subdivision Name
CONTRA COSTA COUNTY - H&P Clinic WCHC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050276AW
Medicare Provider Number
050276
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/14/2025
Last Recertification Date
Contacts
Authorizing Official
Contra Costa Health Services
Brian Buchanan, Interim Chief Financial Officer
(925) 957-5410
Primary Contact
Contra Costa Health
Robert H De Cesare, Fiscal Manager
(925) 957-5429
Addresses
Street Address
13601 SAN PABLO AVE
SAN PABLO, CA 94806-3818
Billing Address
Contra Costa Regional Medical Center Outpatient Pharmacy
2500 Alhambra Ave
Building 1
Martinez, CA 94523-3156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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