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DSH050099B SAN ANTONIO REGIONAL HOSPITAL (Terminated)
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Main Details
Name
SAN ANTONIO REGIONAL HOSPITAL
Subdivision Name
Fontana / Urgent Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050099B
Medicare Provider Number
050099
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/28/2016
Last Recertification Date
Termination Date
Termination Reason
10/1/2017
Site closure
Contacts
Authorizing Official
San Antonio Regional Hospital
Peter Aprato, Compliance Officer
(909) 694-1098
Primary Contact
San Antonio Regional Hospital
Peter Aprato, Compliance Officer
(909) 694-1098
Addresses
Street Address
16465 Sierra Lakes Parkway
Fontana, CA 92336-1242
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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