340B Drug Pricing Program Database

Name

CHW-CARE PROGRAM AND CLINICS

Subdivision Name

ST. MARY MEDICAL CENTER

Type

Ryan White Part C

340B ID

HV90814

Grant Number

H76HA00510

Current Program Status

Terminated

Registration Date

4/1/2001

Participating Start Date

4/1/2001

Participating Approval Date

7/19/2004

Last Recertification Date

2/10/2017

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2018
Change of covered entity type (non-hospital)

Authorizing Official

Dignity Health dba St Mary Medical Center
Leon Choiniere, Vice President/Chief Financial Officer
(562) 491-9191

Primary Contact

DIGNITY HEALTH
Sharon McNealy, Chief Financial Officer
(562) 491-9189

Street Address

1043 ELM AVENUE
SUITE 300
LONG BEACH, CA 90813

Billing Address
Same as Street Address