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DSH050348CC UCI MEDICAL CENTER (Active)
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Main Details
Name
UCI MEDICAL CENTER
Subdivision Name
Plaza Multi-Specialty
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050348CC
Medicare Provider Number
050348
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/23/2015
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
UCI Health
Chad Thurman Lefteris, CEO
(714) 714-1423
Primary Contact
UCI Health
Melanie Joe, Chief Pharmacy Officer
(714) 456-5514
Addresses
Street Address
1 MEDICAL PLAZA DRIVE
IRVINE, CA 92697-0001
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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