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DSH050599B UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER (Terminated)
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Main Details
Name
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
Subdivision Name
CANCER CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050599B
Medicare Provider Number
050599
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/30/2007
Participating Start Date
7/1/1999
Participating Approval Date
10/30/2007
Last Recertification Date
8/31/2015
Termination Date
Termination Reason
1/1/2016
Site closure
Contacts
Authorizing Official
University of California, Davis
TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055
Primary Contact
UC Davis Medical Center
JOHN GRUBBS, DIRECTOR PHARMACY
(916) 734-3305
Addresses
Street Address
4501 X STREET
2279 45th Street
SACRAMENTO, CA 95817
Billing Address
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
2315 Stockton Blvd
Sacramento, CA 95817
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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