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DSH050590 METHODIST HOSPITAL OF SACRAMENTO (Active)
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Main Details
Name
METHODIST HOSPITAL OF SACRAMENTO
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050590
Medicare Provider Number
050590
Additional Details
Current Program Status
Active
Registration Date
1/30/2008
Participating Start Date
4/1/2005
Participating Approval Date
1/30/2008
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Methodist Hospital of Sacramento
Angie Hammons Hammons, Chief Nurse Executive/Chief Operating Officer
(916) 423-6131
Primary Contact
CommonSpirit Health
Ryan Pearcy, 340B Region Manager
(859) 229-5654
Addresses
Street Address
7500 HOSPITAL DRIVE
SACRAMENTO, CA 95823
Billing Address
Dignity Health Accounts Payable
3400 Data Drive
Rancho Cordova, CA 95670
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Did the hospital remain a non profit? Did anything else change except the EIN?
04/30/2019
April 2025
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