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.

DSH050078 PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA DBA PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO (Active)

Main Details
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA DBA PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO
Disproportionate Share Hospital
No
DSH050078
050078


Additional Details
Active
4/11/2008
7/1/2005
4/11/2008
8/23/2024

Contacts

Providence Health & Services Little Company of Mary Medical Centers San Pedro and Torrance
John Fleming Goeders, Chief Financial Officer
(310) 829-8411

Providence Little Company of Mary Medical Center
Muno Bholat, Director of Pharmacy
(310) 303-5722

Addresses

1300 W 7TH STREET
SAN PEDRO, CA 90732

Providence Hlth Svcs
PO Box 389673
Seattle, WA 98138-9673


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  • History
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CommentLast Updated On 
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6/19/2009- UPDATED ENTITY NAME (WAS LITTLE COMPANY OF MARY - SAN PEDRO HOSPITAL) AND AUTHORIZING OFFICIAL (WAS ARNOLD SCHAFFER, VP/CEO)06/19/2009
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