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DSH050159W VENTURA COUNTY MEDICAL CENTER (Terminated)
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Main Details
Name
VENTURA COUNTY MEDICAL CENTER
Subdivision Name
WOMEN'S HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050159W
Medicare Provider Number
050159
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/6/2007
Participating Start Date
4/1/2005
Participating Approval Date
9/6/2007
Last Recertification Date
9/4/2014
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Ventura County Medical Center
John Fankhauser, Chief Executive Officer
(805) 652-6058
Primary Contact
Ventura County Medical Center
Jason Arimura, Associate Hospital Administrator - Ancillary Services
(805) 652-6759
Addresses
Street Address
3291 LOMA VISTA ROAD
VENTURA, CA 93003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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