340B Drug Pricing Program Database
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PED053300-00 VALLEY CHILDRENS HOSPITAL (Terminated)
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Main Details
Name
VALLEY CHILDRENS HOSPITAL
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED053300-00
Medicare Provider Number
053300
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/1/2017
Last Recertification Date
11/10/2017
Termination Date
Termination Reason
10/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Valley Children's Hospital
Michele R. Waldron, Chief Financial Officer
(559) 353-7090
Primary Contact
Valley Children's Hospital
Melissa Chase, Director of Pharmacy
(559) 353-5505
Addresses
Street Address
9300 VALLEY CHILDRENS PLACE
MADERA, CA 93636
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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