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DSH050159AA VENTURA COUNTY MEDICAL CENTER (Terminated)
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Main Details
Name
VENTURA COUNTY MEDICAL CENTER
Subdivision Name
Neuroscience Center of Ventura County
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050159AA
Medicare Provider Number
050159
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/13/2013
Last Recertification Date
8/31/2018
Termination Date
Termination Reason
10/1/2019
Site closure
Contacts
Authorizing Official
Ventura County Medical Center
John Fankhauser, Chief Executive Officer
(805) 652-6058
Primary Contact
Ventura County Medical Center
Jason Arimura, Associate Hospital Administrator - Ancillary Services
(805) 652-6759
Addresses
Street Address
3170 Loma Vista Road
Ventura, CA 93003
Billing Address
VCMC Accounts Payable
800 S Victoria Ave; L4610
Ventura, CA 93009
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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