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DSH050228D Zuckerberg San Francisco General (Active)
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Main Details
Name
Zuckerberg San Francisco General
Subdivision Name
Family Health Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050228D
Medicare Provider Number
050228
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/20/2015
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David E Smith, Pharmacy Manager
(628) 206-2332
Addresses
Street Address
995 Potrero Avenue
San Francisco, CA 94110
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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