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DSH050455B Adventist Health Bakersfield (Terminated)
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Main Details
Name
Adventist Health Bakersfield
Subdivision Name
Outpatient Burn Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050455B
Medicare Provider Number
050455
Outpatient Facility Provider Number
050455
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
9/7/2021
Termination Date
Termination Reason
1/1/2022
Site closure
Contacts
Authorizing Official
Adventist Health
Shane H Cox, Finance Officer
(661) 869-6180
Primary Contact
Adventist Health Bakersfield
Dixit D Bhakta, Director of Pharmacy
(661) 863-3289
Addresses
Street Address
2819 H Street
Bakersfield, CA 93301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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