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DSH050238 USC ARCADIA HOSPITAL (Active)
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Main Details
Name
USC ARCADIA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050238
Medicare Provider Number
050238
Additional Details
Current Program Status
Active
Registration Date
7/24/2006
Participating Start Date
10/1/2006
Participating Approval Date
7/26/2006
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
USC Arcadia Hospital
Ikenna Mmeje, Chief Executive Officer
(626) 574-3600
Primary Contact
USC Arcadia Hospital
Bala Chandrasekhar, Chief Medical Officer
(626) 574-3583
Addresses
Street Address
300 WEST HUNTINGTON DRIVE
ARCADIA, CA 91007
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/23/12 add NPI
02/23/2012
April 2025
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