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DSH050276L CONTRA COSTA REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
CONTRA COSTA REGIONAL MEDICAL CENTER
Subdivision Name
Concord Health Center #2
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050276L
Medicare Provider Number
050276
Outpatient Facility Provider Number
050276
Additional Details
Current Program Status
Active
Registration Date
10/10/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Contra Costa Health Services
Brian Buchanan, Interim Chief Financial Officer
(925) 957-5410
Primary Contact
Contra Costa Health
Robert H De Cesare, Fiscal Manager
(925) 957-5429
Addresses
Street Address
Concord Health Center #2
3024 Willow Pass Rd
Concord, CA 94519-2588
Billing Address
Contra Costa Regional Medical Center Outpatient Pharmacy
2500 Alhambra Ave
Building 1
Martinez, CA 94553-3156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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