340B Drug Pricing Program Database
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DSH050608B Delano Regional Medical Center (Terminated)
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Main Details
Name
Delano Regional Medical Center
Subdivision Name
Delano Womens Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050608B
Medicare Provider Number
050608
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/22/2014
Last Recertification Date
9/4/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Adventist Health System/West
Walter Vincent Hutcheson, Finance Officer
(661) 721-5203
Primary Contact
Delano Regional Medical Center
Terry Monrian, Pharmacy Director
(661) 721-5303
Addresses
Street Address
1201 Jefferson Ave
Delano, CA 93215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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