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SUTTER HEALTH SPECIALTY PHARMACY @ ABSMC
DSH050291 Sutter Bay Hospitals, dba Sutter Santa Rosa Regional Hospital
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Covered Entity Details
Entity Name
Sutter Bay Hospitals, dba Sutter Santa Rosa Regional Hospital
Subdivision Name
dba Sutter Santa Rosa Regional Hospital
Type
Disproportionate Share Hospital
340B ID
DSH050291
Entity Address
30 MARK WEST SPRINGS ROAD
SANTA ROSA, CA 95403
Medicare Provider Number
050291
Participating Start Date
7/1/2005
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
SUTTER HEALTH SPECIALTY PHARMACY @ ABSMC
Pharmacy Address
2001 DWIGHT WAY STE 2182
BERKELEY, CA 94704
Pharmacy Comments
Contract Details
Approval Date
4/12/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dan Peterson, Chief Executive Officer
(707) 576-4564
Contract Pharmacy Representative
Sutter Bay Hospitals, dba Alta Bates Summit Medical Center
Tapan Shah, Assistant Director of Pharmacy
(510) 869-8454
Signed By Date
4/12/2022
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