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DSH050471 PIH HEALTH GOOD SAMARITAN HOSPITAL (Active)
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Main Details
Name
PIH HEALTH GOOD SAMARITAN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050471
Medicare Provider Number
050471
Additional Details
Current Program Status
Active
Registration Date
5/30/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/2/2008
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
PIH Health
JAMES R. WEST, PRESIDENT and CEO
(562) 698-0811 Ext: 12413
Primary Contact
PIH Health
Diane McCowan, Director of Pharmacy
(562) 698-0811 Ext: 16386
Addresses
Street Address
1225 Wilshire Blvd
LOS ANGELES, CA 90017-2395
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/27/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE; 11/20/08 UPDATED ADDR (WAS 1225 WILSHIRE BOULEVARD)
07/06/2011
6/27/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE; 11/20/08 UPDATED ADDR (WAS 1225 WILSHIRE BOULEVARD)
07/06/2011
April 2025
April 2025
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