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DSH050335 Sonora Community Hospital DBA Adventist Health Sonora (Active)
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Main Details
Name
Sonora Community Hospital DBA Adventist Health Sonora
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050335
Medicare Provider Number
050335
Additional Details
Current Program Status
Active
Registration Date
1/17/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/21/2017
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Adventist Health Sonora
Jeff Shultz, Finance Officer
(209) 536-5019
Primary Contact
Adventist Health Sonora
Ashley Pedroni, 340B Program Compliance Analyst
(209) 536-3704
Addresses
Street Address
1000 Greenley Road
Sonora, CA 95370
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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