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DSH050036A BAKERSFIELD MEMORIAL HOSPITAL (Active)
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Main Details
Name
BAKERSFIELD MEMORIAL HOSPITAL
Subdivision Name
DIGNITY HEALTH BAKERSFIELD INFUSION CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050036A
Medicare Provider Number
050036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/15/2013
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Bakersfield Memorial Hospital
Ken Keller, President
(661) 541-0001
Primary Contact
Bakersfield Memorial Hospital
Jocelyn Stover, Director, Pharmacy
(661) 541-0484
Addresses
Street Address
6501 TRUXTUN AVE
INFUSION SUITE
BAKERSFIELD, CA 93309-0633
Billing Address
DIGNITY HEALTH AP
3033 N. 3rd Avenue
Phoenix, AZ 85013
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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