340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

AVELLA OF SACRAMENTO, INC.
CAH051328-00 TAHOE FOREST HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH051328-00
10121 PINE AVENUE
TRUCKEE, CA 96161
051328
1/1/2011
9/4/2024


Pharmacy Details

2288 AUBURN BLVD #102
SACRAMENTO, CA 95821
01/28/2013 name update (was GREATER SACRAMENTO PHARMACY, INC.)

Contract Details

12/7/2017
1/1/2018

7/15/2020
Ownership change


Contacts


CRYSTAL BETTS, CHIEF FINANCIAL OFFICER
(530) 582-6656



Avella
Tammy Sievert, 340B Implementation and Analytics Manager, Corportate
(602) 769-3073
12/7/2017