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DSH050060 COMMUNITY REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
COMMUNITY REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050060
Medicare Provider Number
050060
Additional Details
Current Program Status
Active
Registration Date
3/12/2007
Participating Start Date
4/1/2007
Participating Approval Date
3/12/2007
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Community Medical Center
Tracy Kiritani, VP Hospital Financial Operations
(559) 324-4844
Primary Contact
Community Medical Center
Joel Weber, Director of Finance -Pharmacy and 340B
(559) 231-1504
Addresses
Street Address
2823 FRESNO STREET
FRESNO, CA 93721
Billing Address
COMMUNITY REGIONAL MEDICAL CENTER
P. O. BOX 1232
FRESNO, CA 93715-1231
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/17/08 UPDATED ADDR (WAS FRESNO & R STREET); 12/17/08 ADDED SHIP TO; 12/17/08 ADDED BILL TO; 4/1/07 UPDATED ADDR (WAS 2823 FRESNO ST., FRESNO, CA)
01/21/2010
April 2025
April 2025
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