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DSH050457A UCSF HEALTH - ST. MARY'S HOSPITAL (Active)
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Main Details
Name
UCSF HEALTH - ST. MARY'S HOSPITAL
Subdivision Name
SISTER MARY PHILIPPA HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050457A
Medicare Provider Number
050457
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/16/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/16/2008
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
UCSF Health
James Bennan, COO Community Hospital Division
(415) 503-8667
Primary Contact
UCSF Medical Center
Raechel Hahn, 340B Analyst
(510) 736-7335
Addresses
Street Address
2235 HAYES STREET, 5TH FLOOR
SAN FRANCISCO, CA 94117
Billing Address
UCSF HEALTH - ST. MARY'S HOSPITAL
1500 Owens Street, Ste. 460
San Francisco, CA 94158
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/28/2010- DOC. RECD. TO CONFIRM ELIG. DSH %; 9/1/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %; 1/1/07 - REINSTATED, FORMERLY ELIGIBLE 10/1/04-9/30/06, INELIGIBLE 10/1/06 TO 12/31/06
12/12/2012
12/28/2010- DOC. RECD. TO CONFIRM ELIG. DSH %; 9/1/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %; 1/1/07 - REINSTATED, FORMERLY ELIGIBLE 10/1/04-9/30/06, INELIGIBLE 10/1/06 TO 12/31/06
07/06/2010
12/28/2010- DOC. RECD. TO CONFIRM ELIG. DSH %; 9/1/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %; 1/1/07 - REINSTATED, FORMERLY ELIGIBLE 10/1/04-9/30/06, INELIGIBLE 10/1/06 TO 12/31/06
07/06/2010
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