340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050496A JOHN MUIR MEDICAL CENTER - CONCORD (Active)
Print
Main Details
Name
JOHN MUIR MEDICAL CENTER - CONCORD
Subdivision Name
JOHN MUIR MED CENTER CONCORD Behring Pavilion - Short Stay Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050496A
Medicare Provider Number
050496
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/2/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/5/2023
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
John Muir Health
Zach Harris, VP Ancillary Services
(808) 457-0157
Primary Contact
John Muir Health
Nikolai Tyler Dahl, Program Manager - Medication Utilization
(925) 947-3243
Addresses
Street Address
2540 EAST ST
CONCORD, CA 94520-1906
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session