340B Drug Pricing Program Database
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DSH050077G SCRIPPS MERCY HOSPITAL (Active)
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Main Details
Name
SCRIPPS MERCY HOSPITAL
Subdivision Name
Chula Vista / EEG
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050077G
Medicare Provider Number
050077
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/8/2014
Participating Start Date
1/1/2015
Participating Approval Date
11/5/2014
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Scripps Mercy Hospital
Tom Gammiere, CEO
(619) 260-7101
Primary Contact
Scripps Mercy Hospital
Lauren Zanecosky, 340B Program Specialist
(619) 260-7308
Addresses
Street Address
435 H st
Chula Vista, CA 91910
Billing Address
Scripps Health
Accounts Payable Department, CPB333
PO Box 2469
La Jolla, CA 92038
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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