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CRESCENT HEALTHCARE INC
HM92668 CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS (CIBD)
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Covered Entity Details
Entity Name
CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS (CIBD)
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM92668
Entity Address
701 S. Parker Street
Suite 1000
Orange, CA 92868
Grant Number
H30MC24045
Participating Start Date
7/1/1997
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CRESCENT HEALTHCARE INC
Pharmacy Address
11980 TELEGRAPH RD
SUITE 102
SANTA FE SPRINGS, CA 90670-6089
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/4/2019
Ownership change
Contacts
Covered Entity Signing Official
DIANE NUGENT, DIRECTOR, HEMOPHILIA TREATMENT CENTER
(714) 509-8744
Contract Pharmacy Representative
Joan Couden, National Program Director
(513) 616-4174
Signed By Date
1/15/2016
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