340B Drug Pricing Program Database
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DSH050009 ST Joseph Health Northern California LLC-DBA Queen of the Valley Medical Center (Active)
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Main Details
Name
ST Joseph Health Northern California LLC-DBA Queen of the Valley Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050009
Medicare Provider Number
050009
Additional Details
Current Program Status
Active
Registration Date
1/5/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/1/2016
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Providence St. Joseph Health
Brandon Williams, CFO, Queen of the Valley Medical Center
(707) 387-1872
Primary Contact
Providence
Jesse Peterson, 340B Program Director, South Division
(651) 324-2207
Addresses
Street Address
1000 TRANCAS STREET
NAPA, CA 94558
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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