340B Drug Pricing Program Database
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DSH050455A Adventist Health Bakersfield (Active)
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Main Details
Name
Adventist Health Bakersfield
Subdivision Name
Quest Imaging
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050455A
Medicare Provider Number
050455
Outpatient Facility Provider Number
050455
Additional Details
Current Program Status
Active
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/13/2013
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Adventist Health Bakersfield
Jennifer Lavers, Chief Operating Officer
(661) 713-5431
Primary Contact
Adventist Health Bakersfield
Zachary Wesley-Keith Glover, 340b Program Compliance Analyst
(661) 869-6280 Ext: 2581
Addresses
Street Address
9602 Stockdale Avenue
Bakersfield, CA 93311
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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