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DSH050567 MISSION HOSPITAL (Terminated)
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Main Details
Name
MISSION HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050567
Medicare Provider Number
050567
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/16/2016
Last Recertification Date
8/29/2018
Termination Date
Termination Reason
1/1/2019
DSH percentage below statutory minimum
Contacts
Authorizing Official
St. Joseph Hospital, Orange
Eileen Haubl, Chief Financial Officer
(949) 364-1400 Ext: 5408
Primary Contact
Mission Hospital
Nha-Uyen Tran, 340B Pharmacist Specialist
(949) 364-1400 Ext: 2220
Addresses
Street Address
27700 Medical Center Road
Mission Viejo, CA 92691
Billing Address
St. Joseph Health Shared Services Accounts Payable
3345 Michelson Drive
Irvine, CA 92612
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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