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DSH050454RK UCSF-MEDICAL CENTER (Active)
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Main Details
Name
UCSF-MEDICAL CENTER
Subdivision Name
RADIOLOGY PCMB
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050454RK
Medicare Provider Number
050454
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/5/2020
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
UCSF
Angelie Gaweco, CFO
(415) 928-9900
Primary Contact
UCSF Medical Center
Raechel Hahn, 340B Analyst
(510) 736-7335
Addresses
Street Address
1825 4TH ST
FL 2-3
SAN FRANCISCO, CA 94158-2515
Billing Address
UCSF MEDICAL CENTER
505 PARNASSUS AVE.
ROOM M39C
SAN FRANCISCO, CA 94143-2204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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