340B Drug Pricing Program Database
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DSH050110A LOMPOC HEALTHCARE DISTRICT (Active)
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Main Details
Name
LOMPOC HEALTHCARE DISTRICT
Subdivision Name
LOMPOC HEALTH CARE DISTRICT - LOMPOC VALLEY MEDICAL CENTER ONCOLOGY-HEMATOLOGY SERVICES
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050110A
Medicare Provider Number
050110
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/22/2019
Participating Start Date
1/22/2019
Participating Approval Date
1/22/2019
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Lompoc Valley Medical Center
Yvette Cope, Chief Executive Officer
(805) 737-3301
Primary Contact
Lompoc Valley Medical Center
Logan Abney, Lead Clinical Pharmacist, 340B Coordinator
(805) 737-3337
Addresses
Street Address
1213 E OCEAN AVE STE 102
LOMPOC, CA 93436-7092
Billing Address
Lompoc Valley Medical Center
1515 E Ocean Ave
Lompoc, CA 93436
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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