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DSH050159X Ventura County Medical Center (Terminated)
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Main Details
Name
Ventura County Medical Center
Subdivision Name
Employee Health Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050159X
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
9/5/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Ventura County Medical Center
John Fankhauser, Chief Executive Officer
(805) 652-6058
Primary Contact
Ventura County Medical Center
Joseph Flynn, Pharmacy Operations Supervisor
(805) 652-5758
Addresses
Street Address
800 South Victoria
Ventura, CA 93009
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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