340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050006E St. Joseph Health Northern California, LLC-DBA St. Joseph Hospital (Terminated)
Print
Main Details
Name
St. Joseph Health Northern California, LLC-DBA St. Joseph Hospital
Subdivision Name
AMBULATORY INFUSION PROGRAM
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050006E
Medicare Provider Number
050006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/6/2015
Last Recertification Date
9/9/2020
Termination Date
Termination Reason
1/1/2021
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Providence St. Joseph Health
Patti Pilgrim, Regional CFO
(707) 525-5323
Primary Contact
Providence St Joseph Health
Victoria Marie Hanson, Regional Pharmacy 340B Manager
(707) 672-2135
Addresses
Street Address
2612 HARRISON AVE
EUREKA, CA 95501-3223
Billing Address
St. Joseph Health Northern California, LLC-DBA St. Joseph Hospital
2700 Dolbeer
Eureka, CA 95501
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.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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