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DSH050159 VENTURA COUNTY MEDICAL CENTER (Active)
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Main Details
Name
VENTURA COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050159
Medicare Provider Number
050159
Additional Details
Current Program Status
Active
Registration Date
9/5/2007
Participating Start Date
12/1/1992
Participating Approval Date
9/6/2007
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Ventura County Medical Center
John Fankhauser, Chief Executive Officer
(805) 652-6058
Primary Contact
Ventura County Medical Center
Beatriz Cachu, 340B Program Administrator
(805) 652-6159
Addresses
Street Address
300 HILLMONT AVE
VENTURA, CA 93003
Billing Address
VCMC ACCOUNTS PAYABLE
800 S VICTORIA AVE; L4610
VENTURA, CA 93009
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/10/05 NEW MED # (WAS PHOE34769)
09/05/2007
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