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DSH050396A SANTA BARBARA COTTAGE HOSPITAL (Active)
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Main Details
Name
SANTA BARBARA COTTAGE HOSPITAL
Subdivision Name
Grotenhuis Pediatric Specialty Clinics
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050396A
Medicare Provider Number
050396
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/8/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/31/2020
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Santa Barbara Cottage Hospital
Kristin Tufvesson, Sr. Vice President Finance & CFO
(805) 879-8941
Primary Contact
Santa Barbara Cottage Hospital
Joseph Jolliff, Director of Pharmacy Services
(805) 569-7396
Addresses
Street Address
5333 Hollister Ave
Suite 250
Goleta, CA 93111
Billing Address
Santa Barbara Cottage Hospital
400 West Pueblo St
Santa Barbara, CA 93105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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