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Hospital Details

Policy Effective Date (Date Posted):
General Information
Hospital: SAN GABRIEL VALLEY MEDICAL CENTER
438 W. LAS TUNAS DRIVE
SAN GABRIEL, CA  91776
http://www.sgvmc.org
 
License: General Acute Care Hospital
Total Beds:  273
Emergency Room:  Yes
more...
 
Contact: Lorna Laraya
(626) 289-5454
 
OSHPD ID: 106190200 Link to Atlas
Fair Pricing Policy Information  Click for FPL Chart
Policy Effective Date: 5/11/2011
Download:   Policy File PDF Document Icon 
Federal Poverty Level for Free Care: 200%
Discount Payment Effective Date: 5/11/2011
Discount Payment 1
Federal Poverty Level Range: 201%-350%
Payment Basis:
Medicare
Discount Payment 2
Federal Poverty Level Range: 351%-500%
Payment Basis:
Other: 125% of Medicare DRG rate
Discount Payment 3
Federal Poverty Level Range: 0%-0%
Payment Basis:
Other Charity Care Discount Payment Information:
Application Form Information
Application Form Eff Date: 5/11/2011
Download:  Application File PDF Document Icon
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: Unemployment Ins and Disability Insurance
Language Information
Available Languages:
English
Spanish
Chinese
Additional Information


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