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RRC030036-00 CHANDLER REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
CHANDLER REGIONAL MEDICAL CENTER
Subdivision Name
CHANDLER REGIONAL MEDICAL CENTER
Type
Rural Referral Center
Rural
Yes
340B ID
RRC030036-00
Medicare Provider Number
030036
Additional Details
Current Program Status
Active
Registration Date
8/30/2021
Participating Start Date
9/15/2021
Participating Approval Date
9/15/2021
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
CommonSpirit Health
John P Bauer, CFO
(480) 410-4514
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
1955 W Frye Road
CHANDLER, AZ 85224
Billing Address
Dignity Health Accounts Payable
3033 N. 3rd Avenue
Phoenix, AZ 85013
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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