Covered Entity Details

CAH051333-00 Ridgecrest Regional Hospital (Active)

Main Details

Name

Ridgecrest Regional Hospital

Subdivision Name

Type

Critical Access Hospital

Rural

340B ID

CAH051333-00

Medicare Provider Number

051333

Additional Details

Current Program Status

Active

Registration Date

1/14/2013

Participating Start Date

10/1/2013

Participating Approval Date

9/13/2013

Last Recertification Date

8/15/2024

Contacts

Authorizing Official

Ridgecrest Regional Hospital
James Suver, CEO
(760) 499-3902

Primary Contact

Ridgecrest Regional Hospital760-499-3185
Margie Rose, Program Director
(415) 564-9856

Addresses

Street Address

1081 N. China Lake Blvd.
Ridgecrest, CA 93555

Billing Address
Same as Street Address

Comment	Last Updated On
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1 Item 1 to 3 of 3 Page: of 1 Page size:
9/13/13 enrollment in 340B program started 10/1/13; 9/11/13 originally had both start and termination dates as 4/1/13, entered 4/1 for date became inelig & last date purchased in order to be able to save record; 2/13/13 was prematurely approved, temporarily terminating (as opposed to "unapproving") until additional paperwork is received	09/13/2013
9/11/13 originally had both start and termination dates as 4/1/13, entered 4/1 for date became inelig & last date purchased in order to be able to save record; 2/13/13 was prematurely approved, temporarily terminating (as opposed to "unapproving") until additional paperwork is received	09/11/2013
2/13/13 was prematurely approved, temporarily terminating (as opposed to "unapproving") until additional paperwork is received	02/13/2013

340B Drug Pricing Program Database