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DSH050454CX UCSF-MEDICAL CENTER (Approved)
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Main Details
Name
UCSF-MEDICAL CENTER
Subdivision Name
Neurosurgery Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050454CX
Medicare Provider Number
050454
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/3/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
Last Recertification Date
Contacts
Authorizing Official
UCSF
Angelie Gaweco, CFO
(415) 928-9900
Primary Contact
UCSF Medical Center
Raechel Hahn, 340B Analyst
(510) 736-7335
Addresses
Street Address
400 Parnassus Ave
San Francisco, CA 94143
Billing Address
UCSF-MEDICAL CENTER
505 PARNASSUS AVE. ROOM M39C
San Francisco, CA 94143
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2012, terminated 10/1/2024. Reinstated 7/1/2025.
04/15/2025
April 2025
April 2025
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