340B Drug Pricing Program Database
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DSH050026L GROSSMONT HOSPITAL (Active)
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Main Details
Name
GROSSMONT HOSPITAL
Subdivision Name
LakeView Hospice Residence
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050026L
Medicare Provider Number
050026
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/2/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Grossmont Hospital
Daniel Kindron, CFO
(619) 740-4743
Primary Contact
Sharp HealthCare
Zephyr T Skeets, 340B Specialist
(858) 499-2148
Addresses
Street Address
9472 Loren Dr
La Mesa, CA 91942
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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