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DSH050485B Long Beach Memorial Medical Center, Inc. dba MemorialCare Long Beach Medical Center (Active)
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Main Details
Name
Long Beach Memorial Medical Center, Inc. dba MemorialCare Long Beach Medical Center
Subdivision Name
CNC Ambulatory Infusion Program
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050485B
Medicare Provider Number
050485
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/3/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/9/2019
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
MemorialCare Long Beach Medical Center
Frank Beirne, Chief Executive Officer
(562) 933-1111
Primary Contact
MemorialCare
Suzanne French, Manager, 340B Program
(714) 486-4693
Addresses
Street Address
2810 Long Beach Blvd
Long Beach, CA 90806
Billing Address
Long Beach Memorial Medical Center
2801 Atlantic Av
Long Beach, CA 90806
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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