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Hospital Details

Policy Effective Date (Date Posted):

General Information

Hospital:

PROVIDENCE TARZANA MEDICAL CENTER
18321 CLARK STREET
TARZANA, CA 91356
http://providence.org/tarzana

License:

General Acute Care Hospital
Total Beds: 249
Emergency Room: Yes
more...

Contact:

John Bokosky
(310) 303-7143

OSHPD ID:

106190517

Fair Pricing Policy Information Click for FPL Chart

Policy Effective Date: 1/1/2012

Download: Policy File

Federal Poverty Level for Free Care: 250%

Discount Payment Effective Date: 1/1/2011

Discount Payment 1
Federal Poverty Level Range: 251%-350%
Payment Basis:
Medicare
Discount Payment 2
Federal Poverty Level Range: 0%-0%
Payment Basis:

Discount Payment 3
Federal Poverty Level Range: 0%-0%
Payment Basis:

Other Charity Care Discount Payment Information:

1. Partial Charitable Services can be granted to persons over 350% FPG income level with demonstrated inability to pay. The amount of the discount is limited to the current self pay discount. 2. Private Pay Discounting Policy is applicable to all patients with no third party pay source. It is to provide price parity to all private pay patients, regardless of ability or inability to pay.

Application Form Information

Application Form Eff Date: 9/19/2008

Download: Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: invest income,alimony, child support, public asst.

Language Information

Available Languages:

English
Spanish

Additional Information

Updated 2012 Federal Poverty Levels

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