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RRC050567-00 MISSION HOSPITAL REG MEDICAL CENTER (Active)
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Main Details
Name
MISSION HOSPITAL REG MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC050567-00
Medicare Provider Number
050567
Additional Details
Current Program Status
Active
Registration Date
10/1/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/7/2020
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
St. Joseph Hospital, Orange
Eileen Haubl, Chief Financial Officer
(949) 364-1400 Ext: 5408
Primary Contact
Mission Hospital
Nha-Uyen Tran, 340B Pharmacist Specialist
(949) 364-1400 Ext: 2220
Addresses
Street Address
27700 MEDICAL CENTER ROAD
MISSION VIEJO, CA 92691
Billing Address
St. Joseph Health Shared Services Accounts Payable
3345 Michelson Drive
Irvine, CA 92612
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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