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DSH050079 DOCTORS MEDICAL CENTER (Terminated)
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Main Details
Name
DOCTORS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050079
Medicare Provider Number
050079
Additional Details
Current Program Status
Terminated
Registration Date
11/28/2006
Participating Start Date
1/1/2007
Participating Approval Date
11/30/2006
Last Recertification Date
9/3/2014
Termination Date
Termination Reason
4/24/2015
Site closure
Contacts
Authorizing Official
JAMES BOATMAN, CFO
(510) 970-5024
Primary Contact
THERESE HELSER, DIRECTOR OF PHARMACY
(510) 970-5310
Addresses
Street Address
2000 VALE ROAD
SAN PABLO, CA 94806
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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