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CAN050146-02 CITY OF HOPE NATIONAL MEDICAL CENTER (Active)
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Main Details
Name
CITY OF HOPE NATIONAL MEDICAL CENTER
Subdivision Name
CITY OF HOPE NATIONAL MEDICAL CENTE - CITY OF HOPE CORONA
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN050146-02
Medicare Provider Number
050146
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/11/2023
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
City of Hope
Wafa Samara, CPO
(626) 218-4936
Primary Contact
City of Hope
Jamie Jove Lee, Director, 340B Program
(626) 218-3236
Addresses
Street Address
320 W 6TH ST
CORONA, CA 92882-3349
Billing Address
City of Hope National Medical Center
1500 Duarte Rd
Duarte, CA 91010
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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