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DSH050334J SALINAS VALLEY HEALTH MEDICAL CENTER (Active)
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Main Details
Name
SALINAS VALLEY HEALTH MEDICAL CENTER
Subdivision Name
Taylor Farms Family Health and Wellness Center - Rural Health Clinic Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050334J
Medicare Provider Number
050334
Outpatient Facility Provider Number
058688
Additional Details
Current Program Status
Active
Registration Date
10/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/20/2017
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Salinas Valley Memorial Hospital
Allen Radner, Interim President/CEO
(831) 755-0741
Primary Contact
Salinas Valley Health
Clement Miller, COO
(831) 755-0780
Addresses
Street Address
850 Fifth Street
Gonzales, CA 93926
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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DSH050334J
10/19/2017
May 2025
May 2025
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