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DSH050100AJ SHARP MEMORIAL HOSPITAL (Active)
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Main Details
Name
SHARP MEMORIAL HOSPITAL
Subdivision Name
Kidney Transplant Clinic - Post Kidney Transplant-O/P
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050100AJ
Medicare Provider Number
050100
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/20/2018
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Sharp HealthCare
Tony Guerra, Chief Financial Officer
(858) 939-4090
Primary Contact
Sharp HealthCare
Zephyr T Skeets, 340B Specialist
(858) 499-2148
Addresses
Street Address
8010 Frost Street
Suite 100
San Diego, CA 92123
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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