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DSH050115M PALOMAR MEDICAL CENTER ESCONDIDO (PMC Escondido) (Active)
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Main Details
Name
PALOMAR MEDICAL CENTER ESCONDIDO (PMC Escondido)
Subdivision Name
Home Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050115M
Medicare Provider Number
050115
Outpatient Facility Provider Number
057505
Additional Details
Current Program Status
Active
Registration Date
10/12/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/4/2016
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Palomar Health
Diane Lynette Hansen, President & CEO
(760) 740-6395
Primary Contact
Palomar Health
Dondreia Gelios, District Director Pharmacy Services
(442) 281-1358
Addresses
Street Address
120 Craven Road
207
San Marcos, CA 92078
Billing Address
Palomar Health
120 Craven Road
200
San Marcos, CA 92078
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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