340B Drug Pricing Program Database
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DSH050455P Adventist Health Bakersfield (Active)
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Main Details
Name
Adventist Health Bakersfield
Subdivision Name
Quest Chester - CT
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050455P
Medicare Provider Number
050455
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/16/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/23/2016
Last Recertification Date
9/3/2024
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
101
Bakersfield, CA 93301
Billing Address
San Joaquin Community Hospital
2615 Chester Avenue
Bakersfield, CA 93301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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