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DSH050454NZ UCSF-MEDICAL CENTER (Terminated)
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Main Details
Name
UCSF-MEDICAL CENTER
Subdivision Name
Investigational Therapeutics
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050454NZ
Medicare Provider Number
050454
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/1/2017
Last Recertification Date
8/24/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
UCSF Health
James Bennan, COO Community Hospital Division
(415) 503-8667
Primary Contact
UCSF Medical Center
Amy Hunt, 340B Manager
(415) 514-8398
Addresses
Street Address
1600 DIVISADERO STREET, Room A663
San Francisco, CA 94115-3010
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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