340B Drug Pricing Program Database
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DSH050454RF UCSF-MEDICAL CENTER (Terminated)
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Main Details
Name
UCSF-MEDICAL CENTER
Subdivision Name
UCSF Prim Care C.B. Waterfront - China Basin Primary Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050454RF
Medicare Provider Number
050454
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/22/2020
Last Recertification Date
8/19/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
UCSF Health
James Bennan, COO Community Hospital Division
(415) 503-8667
Primary Contact
UCSF Health
Kayla Hubbard, 340B Program Coordinator
(808) 339-5697
Addresses
Street Address
185 Berry Street., Suite 1000
San Francisco, CA 94158-2515
Billing Address
UCSF Medical Center
505 Parnassus Avenue
ROOM M39C
San Francisco, CA 94143
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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