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DSH050159H VENTURA COUNTY MEDICAL CENTER (Active)
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Main Details
Name
VENTURA COUNTY MEDICAL CENTER
Subdivision Name
Immunology Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050159H
Medicare Provider Number
050159
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/6/2007
Participating Start Date
1/1/1998
Participating Approval Date
9/6/2007
Last Recertification Date
8/30/2024
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, BLDG #340
#503
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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2/15/12 address cahnge was 3147 LOMA VISTA ROAD 3/10/05 ADDR CHANGE (WAS 3291 LOMA VISTA ROAD)
02/15/2012
3/10/05 ADDR CHANGE (WAS 3291 LOMA VISTA ROAD)
09/06/2007
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