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DSH050599CG UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER (Terminated)
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Main Details
Name
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
Subdivision Name
Cancer Center Clinic / Pediatrics Cancer Center Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050599CG
Medicare Provider Number
050599
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/28/2015
Last Recertification Date
8/27/2018
Termination Date
Termination Reason
1/1/2019
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
University of California, Davis
TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055
Primary Contact
UC Davis Medical Center
Mark Riggle, Assistant Chief Pharmacist
(916) 734-3309
Addresses
Street Address
2279 45th St
Cancer Center Clinic 1st Floor, North Building
Sacramento, CA 95817
Billing Address
UC Davis Medical Center
2315 Stockton Blvd
Sacramento, CA 95817
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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