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DSH050245C ARROWHEAD REGIONAL MEDICAL CENTER (Active)
Main Details
Name
ARROWHEAD REGIONAL MEDICAL CENTER
Subdivision Name
Arrowhead Westside Family Health Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050245C
Medicare Provider Number
050245
Outpatient Facility Provider Number
Contacts
Authorizing Official
Arrowhead Regional Medical Center
Arvind Kumar Oswal, Chief Financial Officer
(909) 580-6170
Primary Contact
Arrowhead Regional Med Ctr
Cliff Hiroshige, Director of Pharmacy
(909) 580-0016
Additional Details
Current Program Status
Active
Registration Date
8/6/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/31/2012
Last Recertification Date
9/1/2023
Addresses
Street Address
850 East Foothill Blvd.
Rialto, CA 92376
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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