340B Drug Pricing Program Database
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DSH050038BM SANTA CLARA VALLEY MEDICAL CENTER (Active)
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Main Details
Name
SANTA CLARA VALLEY MEDICAL CENTER
Subdivision Name
CHILD ADVOCACY CENTER CLINIC (PEDIATRIC CLINIC)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050038BM
Medicare Provider Number
050038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/28/2023
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Primary Contact
Santa Clara Valley Health and Hospital System
Jennefer Yoon, Assistant Director of Pharmacy
(408) 885-7636
Addresses
Street Address
455 O'Connor Dr., Suite #150
San Jose, CA 95128
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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