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DSH030013AD YUMA REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
YUMA REGIONAL MEDICAL CENTER
Subdivision Name
YRMC Specialty Clinics - EP Cardiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030013AD
Medicare Provider Number
030013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/22/2019
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Yuma Regional Medical Center
Vernon Moore, Chief Financial Officer
(928) 336-7015
Primary Contact
Yuma Regional Medical Center
Mark Jordan, Directory of Pharmacy
(928) 336-7815
Addresses
Street Address
1951 W. 25th Street, Ste. F
75710-10208003
F
Yuma, AZ 85364
Billing Address
Yuma Regional Medical Center
2400 S Ave A
c/o AP
Yuma, AZ 85364
Comments
Medicaid Billing
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Contract Pharmacies
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