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Hospital Details

Policy Effective Date (Date Posted):

General Information

Hospital:

NORTH BAY MEDICAL CENTER
1200 B. GALE WILSON BLVD.
FAIRFIELD, CA 94533
http://www.northbay.org

License:

General Acute Care Hospital
Total Beds: 132
Emergency Room: Yes
more...

Contact:

Financial Assistance Line
(707) 646-5637

OSHPD ID:

106481357

Fair Pricing Policy Information Click for FPL Chart

Policy Effective Date: 1/1/2005

Download: Policy File

Federal Poverty Level for Free Care: 100%

Discount Payment Effective Date: 4/1/2007

Discount Payment 1
Federal Poverty Level Range: 101%-200%
Payment Basis:
Other: $50 Copay Only.
Discount Payment 2
Federal Poverty Level Range: 201%-350%
Payment Basis:
Medicare Other: And, $50 Copay.
Discount Payment 3
Federal Poverty Level Range: 351%-500%
Payment Basis:
Other: Discount % based on total charges.

Other Charity Care Discount Payment Information:

Application Form Information

Application Form Eff Date: 1/1/2005

Download: Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Assets

Language Information

Available Languages:

English

Additional Information

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Hospital Details