340B Drug Pricing Program Database
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DSH050485 Long Beach Memorial Medical Center, Inc. dba MemorialCare Long Beach Medical Center (Active)
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Main Details
Name
Long Beach Memorial Medical Center, Inc. dba MemorialCare Long Beach Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050485
Medicare Provider Number
050485
Additional Details
Current Program Status
Active
Registration Date
4/22/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/22/2008
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
MemorialCare Long Beach Medical Center
Frank Beirne, Chief Executive Officer
(562) 933-1111
Primary Contact
MemorialCare
Suzanne French, Manager, 340B Program
(714) 486-4693
Addresses
Street Address
2801 ATLANTIC AVENUE
LONG BEACH, CA 90806
Billing Address
Long Beach Memorial Medical Center, Inc. dba MemorialCare Long Beach Medical Center
PO Box 20892
Fountain Valley, CA 92728
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/3/12 ADDED SHIP ADD#2, ADDED NPI#
02/03/2012
June 2025
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