340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050590A METHODIST HOSPITAL OF SACRAMENTO (Active)
Print
Main Details
Name
METHODIST HOSPITAL OF SACRAMENTO
Subdivision Name
Methodist OP Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050590A
Medicare Provider Number
050590
Outpatient Facility Provider Number
050590
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/5/2014
Last Recertification Date
8/14/2024
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, California Region Manager Pharmacy 340B Services
(859) 229-5654
Addresses
Street Address
8220 Wymark Drive
Elk Grove, CA 95757
Billing Address
Dignity Health Accounts Payable
3400 Data Drive
Rancho Cordova, CA 95670
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session