340B Drug Pricing Program Database
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DSH050234A SHARP CORONADO HOSPITAL (Active)
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Main Details
Name
SHARP CORONADO HOSPITAL
Subdivision Name
Sharp Coronado Villa Coronado - Skilled Nursing Facility
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050234A
Medicare Provider Number
050234
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2024
Participating Start Date
1/1/2025
Participating Approval Date
12/11/2024
Last Recertification Date
Contacts
Authorizing Official
Sharp Coronado Hospital and Healthcare Center
Fahd Benjalil, CFO/COO
(619) 522-3857
Primary Contact
Sharp HealthCare
Zephyr T Skeets, 340B Specialist
(858) 499-2148
Addresses
Street Address
233 Prospect Pl
Coronado, CA 92118
Billing Address
Sharp Coronado Hospital and Healthcare Center
250 Prospect Place
Coronado, CA 92118
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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