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DSH050152J ST FRANCIS MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
ST FRANCIS MEMORIAL HOSPITAL
Subdivision Name
Total Joint Center - Saint Francis Orthopedic Institute
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050152J
Medicare Provider Number
050152
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/7/2015
Last Recertification Date
8/21/2019
Termination Date
Termination Reason
10/1/2019
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Dignity Health Saint Francis Memorial Hospital
Kecia Kelly, COO/CNO
(415) 353-6173
Primary Contact
Dignity Health Saint Francis Memorial Hospital
Osariemen Nosa-Idahosa, Director of Pharmcy
(415) 353-6451
Addresses
Street Address
1199 Bush Street #200
San Francisco, CA 94109
Billing Address
Dignity Health Accounts Payable
3400 Data Drive
3rd floor
Rancho Cordova, CA 95670
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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