340B Drug Pricing Program Database
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DSH050360 MARIN GENERAL HOSPITAL (Active)
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Main Details
Name
MARIN GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050360
Medicare Provider Number
050360
Additional Details
Current Program Status
Active
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
6/2/2016
Last Recertification Date
9/10/2024
Contacts
Authorizing Official
Marin General Hospital
Elizabeth Lasnier, Controller
(415) 925-7449
Primary Contact
Marin General Hospital
Megan Engler, 340B Coordinator
(415) 328-1454
Addresses
Street Address
250 BON AIR ROAD
GREENBRAE, CA 94904
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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