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DSH050272B REDLANDS COMMUNITY HOSPITAL (Active)
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Main Details
Name
REDLANDS COMMUNITY HOSPITAL
Subdivision Name
Yucaipa Family Clinic - Family Practice
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050272B
Medicare Provider Number
050272
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/16/2017
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 Miles, Director of Pharmacy
(909) 335-6451
Addresses
Street Address
11985 4th Street
Suite 116
Yucaipa, CA 92399
Billing Address
Redlands Community Hospital
350 Terracina Blvd
Redlands, CA 92373
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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