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DSH050272 REDLANDS COMMUNITY HOSPITAL (Active)
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Main Details
Name
REDLANDS COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050272
Medicare Provider Number
050272
Additional Details
Current Program Status
Active
Registration Date
10/13/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/24/2017
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Redlands Community Hospital
Todd J Sexton, Vice President, Professional and General Services
(909) 335-6423
Primary Contact
Redlands Community Hospital
Justin D Miles, Director of Pharmacy Services
(909) 335-6451
Addresses
Street Address
350 TERRACINA BOULEVARD
REDLANDS, CA 92373
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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