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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

DOCTORS MEDICAL CENTER - SAN PABLO

2000 VALE ROAD
SAN PABLO, CA 94806
http://www.doctorsmedicalcenter.org/default

License:

General Acute Care Hospital
Total Beds: 189
Emergency Room: Yes
more... Link to Atlas

Contact:

Gisela Hernandez
(510) 970-5438

OSHPD ID:

106070904

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

10/1/2009

Download:

Federal Poverty Level for Free Care:

300%

Discount Payment Effective Date:

10/1/2009

Discount Payments

FPL Range: 301%-400%
Payment Basis:
Medicare

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

10/1/2009

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: pt statement

Language Information

Available Languages:

English
Spanish

Additional Information

Facility closed on 4/21/2015.

Family Size	100%	150%	200%	250%	300%	350%	400%