340B Drug Pricing Program Database
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DSH050292 Riverside University Health System (Active)
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Main Details
Name
Riverside University Health System
Subdivision Name
formerly known as RIVERSIDE COUNTY REGIONAL MEDICAL CENTER aka Riverside General Hospital
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050292
Medicare Provider Number
050292
Additional Details
Current Program Status
Active
Registration Date
11/21/2007
Participating Start Date
12/1/1992
Participating Approval Date
11/21/2007
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
RUHS
Leah Patterson, Chief Nursing Officer
(951) 486-7532
Primary Contact
RUHS
Davalyn Tidwell, Pharmacy Director
(951) 486-4527
Addresses
Street Address
26520 Cactus Avenue
MORENO VALLEY, CA 92555
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/28/12 Error by OPA staff in submitting termination of this entity, re-corrected in database-note for histpry tab JHardin 6/24/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE 12/27/11 change PC from Klevens to Prouty JH
11/29/2012
6/24/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE 12/27/11 change PC from Klevens to Prouty JH
12/27/2011
6/24/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE
07/06/2011
6/24/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE
07/06/2011
April 2025
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