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SCH050434-00 Colusa Regional Medical Center (Terminated)
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Main Details
Name
Colusa Regional Medical Center
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH050434-00
Medicare Provider Number
050434
Additional Details
Current Program Status
Terminated
Registration Date
12/13/2011
Participating Start Date
4/1/2012
Participating Approval Date
3/29/2012
Last Recertification Date
9/8/2016
Termination Date
Termination Reason
10/1/2016
Failure to recertify
Contacts
Authorizing Official
Gary A. Pea, CFO
(530) 458-5821 Ext: 252
Primary Contact
Gary A. Pea, CFO
(530) 458-5821 Ext: 252
Addresses
Street Address
199 E. Webster St.
Colusa, CA 95932
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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