340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050444 MERCY MEDICAL CENTER MERCED (Active)
Print
Main Details
Name
MERCY MEDICAL CENTER MERCED
Subdivision Name
COMMUNITY CAMPUS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050444
Medicare Provider Number
050444
Additional Details
Current Program Status
Active
Registration Date
7/24/2006
Participating Start Date
7/1/1994
Participating Approval Date
7/24/2006
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Dignity Health
Scott Banks, CFO
(209) 564-5015
Primary Contact
Mercy Medical Center Merced
Brian Charles Elmore, Director of Pharmacy
(209) 564-5037
Addresses
Street Address
333 MERCY AVE
MERCED, CA 95340
Billing Address
Dignity Health AP
3400 Data Drive
Rancho Cordova, CA 95670
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
9/23/10 ADDR CHANGE & SHIP TO REMOVED (WAS 301 EAST 13TH ST. & 200 EAST 15TH ST) 6/7/05 - ENT NAME CHANGE (WAS SUTTER MERCED MEDICAL,ORIG NAME MERCED COMMUNITY MEDICAL CENTER)
07/24/2006
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