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DSH050320 ALAMEDA HEALTH SYSTEM (Active)
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Main Details
Name
ALAMEDA HEALTH SYSTEM
Subdivision Name
HIGHLAND GENERAL HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050320
Medicare Provider Number
050320
Additional Details
Current Program Status
Active
Registration Date
10/23/2007
Participating Start Date
4/1/1995
Participating Approval Date
10/23/2007
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Alameda Health System
Mark Steven Fratzke, Interim COO
(510) 535-7631
Primary Contact
Alameda Health System
Diana Thamrin, System Director of Pharmacy
(510) 535-7430
Addresses
Street Address
1411 EAST 31ST ST.
OAKLAND, CA 94602
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/19/07 UPDATED SUBDIV NAME (WAS ALAMEDA COUNTY MEDICAL CENTER); 10/19/07 UPDATED ENTITY NAME (WAS HIGHLAND GENERAL HOSPITAL);
01/08/2010
April 2025
April 2025
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