340B Drug Pricing Program Database
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DSH050407E CHINESE HOSPITAL (Active)
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Main Details
Name
CHINESE HOSPITAL
Subdivision Name
SUNSET HEALTH SERVICES - Primary Care Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050407E
Medicare Provider Number
050407
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/2/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/24/2020
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
chinese hospital
Jian Qing Zhang, CEO
(415) 677-2477
Primary Contact
chinese hospital
Gina Yam, Director of Pharmacy
(415) 677-2429
Addresses
Street Address
1800 31st Ave
San Francisco, CA 94122
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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