Covered Entity Details

DSH050276A CONTRA COSTA REGIONAL MEDICAL CENTER (Active)

Main Details

Name

CONTRA COSTA REGIONAL MEDICAL CENTER

Subdivision Name

WEST COUNTY HEALTH CENTER

Type

Disproportionate Share Hospital

Rural

340B ID

DSH050276A

Medicare Provider Number

050276

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

3/1/2007

Participating Start Date

4/1/1998

Participating Approval Date

3/1/2007

Last Recertification Date

8/15/2024

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

West County Health Center
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 94553-3156

Comment	Last Updated On
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The hospital needs to terminate the old site (Richmond Health Center) and register the new site (West County Health Center). Please be advised that the next registration period is from January 1 through 15, 2013. 03/20/09 UPDATED ADDR (WAS 100 38TH STREET); 3/1/07 UPDATED ADDR (WAS 38TH AND BISSELL STREET)	12/17/2012
03/20/09 UPDATED ADDR (WAS 100 38TH STREET); 3/1/07 UPDATED ADDR (WAS 38TH AND BISSELL STREET)	01/08/2010

340B Drug Pricing Program Database