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DSH050348 UCI MEDICAL CENTER (Active)
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Main Details
Name
UCI MEDICAL CENTER
Subdivision Name
UNIVERSITY OF CALIFORNIA, IRVINE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050348
Medicare Provider Number
050348
Additional Details
Current Program Status
Active
Registration Date
9/10/2007
Participating Start Date
1/1/1998
Participating Approval Date
9/10/2007
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
UCI Health
Chad Thurman Lefteris, CEO
(714) 714-1423
Primary Contact
UCI Health
Melanie Joe, Chief Pharmacy Officer
(714) 456-5514
Addresses
Street Address
101 THE CITY DR. S RT32
ORANGE, CA 92868
Billing Address
UCI MEDICAL CENTER
ACCOUNTS PAYABLE - P O BOX C 11917
SANTA ANA, CA 92711
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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1/30/09 UPDATED SHIP TO (WAS BUILDING 25 BASEMENT PHARMACY); 9/27/05 ADDED BILL TO; 9/27/05 ADDED SHIP TO
01/08/2010
May 2025
May 2025
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