340B Drug Pricing Program Database
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DSH050455G Adventist Health Bakersfield (Active)
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Main Details
Name
Adventist Health Bakersfield
Subdivision Name
AIS Breast Center / Radiology-Therapeutic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050455G
Medicare Provider Number
050455
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/23/2016
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Adventist Health Bakersfield
Jennifer Lavers, Chief Operating Officer
(661) 713-5431
Primary Contact
Adventist Health Bakersfield
Zachary Wesley-Keith Glover, 340b Program Compliance Analyst
(661) 869-6280 Ext: 2581
Addresses
Street Address
2700 Chester Avenue
103
Bakersfield, CA 93301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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