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DSH050228E SAN FRANCISCO GENERAL HOSPITAL (Terminated)
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Main Details
Name
SAN FRANCISCO GENERAL HOSPITAL
Subdivision Name
Psychiatric Emergency Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050228E
Medicare Provider Number
050228
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/11/2015
Last Recertification Date
8/18/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David Woods, Chief Pharmacy Officer
(628) 206-2332
Addresses
Street Address
1001 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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