340B Drug Pricing Program Database
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DSH050006C St. Joseph Health Northern California, LLC-DBA St. Joseph Hospital (Terminated)
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Main Details
Name
St. Joseph Health Northern California, LLC-DBA St. Joseph Hospital
Subdivision Name
Outpatient Imaging Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050006C
Medicare Provider Number
050006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/26/2013
Last Recertification Date
8/20/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Providence St. Joseph Health
Patti Pilgrim, Regional CFO
(707) 525-5323
Primary Contact
Providence St. Joseph Health
Caroline Chellamy, Regional Director, 340B Operations
(424) 259-3784
Addresses
Street Address
2330 Buhne Street
Eureka, CA 95501
Billing Address
St. Joseph Hospital
2700 Dolbeer Street
Eureka, CA 95501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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