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DSH030013C YUMA REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
YUMA REGIONAL MEDICAL CENTER
Subdivision Name
YRMC Bariatric & General Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030013C
Medicare Provider Number
030013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/2/2014
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Yuma Regional Medical Center
Vernon Moore, Chief Financial Officer
(928) 336-7015
Primary Contact
Yuma Regional Medical Center
Mark Jordan, Directory of Pharmacy
(928) 336-7815
Addresses
Street Address
2460 S. Parkview Loop, Suite 3
77690-10202010
3
Yuma, AZ 85364
Billing Address
Yuma Regional Medical Center
2400 S Avenue A
Yuma, AZ 85364
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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