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CAH051336-01 Southern Monterey County Memorial Hospital DBA: George L. Mee Memorial Hospital (Terminated)
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Main Details
Name
Southern Monterey County Memorial Hospital DBA: George L. Mee Memorial Hospital
Subdivision Name
G L Mee Memorial Hospital - Dialysis
Type
Critical Access Hospital
Rural
No
340B ID
CAH051336-01
Medicare Provider Number
051336
Outpatient Facility Provider Number
053521
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2020
Participating Start Date
1/1/2021
Participating Approval Date
12/3/2020
Last Recertification Date
8/31/2023
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Mee Memorial Hospital
Rena Salamacha, CEO
(831) 385-7284
Primary Contact
Mee Memorial Hospital
Jason Lashbrook, Pharmacy Manager
(831) 385-7143
Addresses
Street Address
809 Broadway
King City, CA 93930
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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