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DSH050060P COMMUNITY REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
COMMUNITY REGIONAL MEDICAL CENTER
Subdivision Name
Community Dialysis Center-Fresno
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050060P
Medicare Provider Number
050060
Outpatient Facility Provider Number
053525
Additional Details
Current Program Status
Active
Registration Date
4/8/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/14/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Community Medical Center
Tracy Kiritani, VP Hospital Financial Operations
(559) 324-4844
Primary Contact
Community Medical Center
Joel Weber, Director of Finance -Pharmacy and 340B
(559) 231-1504
Addresses
Street Address
215 N. Fresno Street, ste. 150
Fresno, CA 93701
Billing Address
Community Regional Medical Center
P.O. Box 1232
Fresno, CA 93715-1231
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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