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BIOSCRIP INFUSION SERVICES, INC.
DSH050292C Riverside University Health System
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Covered Entity Details
Entity Name
Riverside University Health System
Subdivision Name
MH ER Treatment Facility/ETS (Behavioral Health/Mental Health)
Type
Disproportionate Share Hospital
340B ID
DSH050292C
Entity Address
9990 County Farm Road
Suite 4
Riverside, CA 92503
Medicare Provider Number
050292
Outpatient Facility Provider Number
Participating Start Date
1/1/2014
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
BIOSCRIP INFUSION SERVICES, INC.
Pharmacy Address
840 S. ROCHESTER AVENUE
UNIT A
ONTARIO, CA 91761
Pharmacy Comments
Contract Details
Approval Date
10/13/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Cruikshank, Chief Operating Officer
(951) 486-4458
Contract Pharmacy Representative
Vinson Chien, PIC
(855) 395-7500
Signed By Date
10/13/2015
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