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DSH050008 SUTTER BAY HOSPITALS-DBA CALIFORNIA PACIFIC MED CTR DAVIES CAMPUS (Active)
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Main Details
Name
SUTTER BAY HOSPITALS-DBA CALIFORNIA PACIFIC MED CTR DAVIES CAMPUS
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050008
Medicare Provider Number
050008
Additional Details
Current Program Status
Active
Registration Date
1/7/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/1/2016
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
California Pacific Medical Center
HENRY YU, VP AND CFO
(415) 600-3850
Primary Contact
Sutter Health
Rachel L Dunbar, 340B Analyst
(916) 952-3480
Addresses
Street Address
601 DUBOCE AVE
SAN FRANCISCO, CA 94117
Billing Address
CPMC DAVIES CAMPUS C/O S3 A/P
PO BOX 619110
ROSEVILLE, CA 95661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/26/2010- DOC RECEIVED TO CONFIRM ELIG DSH ADJ%2/27/09 DOC RECEIVED TO CONFIRM ELIG DSH ADJ%
06/30/2011
June 2025
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