340B Drug Pricing Program Database
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DSH050167 SAN JOAQUIN GENERAL HOSPITAL (Active)
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Main Details
Name
SAN JOAQUIN GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050167
Medicare Provider Number
050167
Additional Details
Current Program Status
Active
Registration Date
10/30/2007
Participating Start Date
1/1/1999
Participating Approval Date
10/30/2007
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
San Joaquin General Hospital
Richard Castro, Chief Executive Officer
(209) 468-6600
Primary Contact
San Joaquin General Hospital
Krissy Hirai, ACS Pharmacy Supervisor
(209) 468-7225
Addresses
Street Address
500 WEST HOSPITAL ROAD
FRENCH CAMP, CA 95231
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/23/04 - MEDI-CAL CARVE OUT
10/30/2007
May 2025
May 2025
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