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DSH050126 Valley Presbyterian Hospital (Active)
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Main Details
Name
Valley Presbyterian Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050126
Medicare Provider Number
050126
Additional Details
Current Program Status
Active
Registration Date
10/6/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/14/2011
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Valley Presbyterian Hospital
LORI CARDLE, SVP Finance, CFO
(818) 902-5235
Primary Contact
Valley Presbyterian Hospital
William Guss, Director of Pharmacy
(818) 946-1533
Addresses
Street Address
15107 Vanowen Street
Van Nuys, CA 91405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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