340B Drug Pricing Program Database
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DSH050755 SHERMAN OAKS HOSPITAL-HLTH (Terminated)
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Main Details
Name
SHERMAN OAKS HOSPITAL-HLTH
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050755
Medicare Provider Number
050755
Additional Details
Current Program Status
Terminated
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
8/1/2017
Last Recertification Date
8/21/2019
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Encino Hospital Medical Center
Bockhi Park, Chief Executive Officer
(818) 907-4540
Primary Contact
Encino Hospital Medical Center
Keith Sinn, Director- Pharmacy
(818) 974-6221
Addresses
Street Address
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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