340B Drug Pricing Program Database
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DSH050444C MERCY MEDICAL CENTER MERCED (Active)
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Main Details
Name
MERCY MEDICAL CENTER MERCED
Subdivision Name
Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050444C
Medicare Provider Number
050444
Outpatient Facility Provider Number
050444
Additional Details
Current Program Status
Active
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Dignity Health
Scott Banks, CFO
(209) 564-5015
Primary Contact
Mercy Medical Center Merced
Brian Charles Elmore, Director of Pharmacy
(209) 564-5037
Addresses
Street Address
3850 G Street
Merced, CA 95340
Billing Address
Dignity Health AP
3400 Data Drive
Rancho Cordova, CA 95670
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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