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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF

216 NORTH THIRD STREET
LOMPOC, CA 93436
http://Lompocvmc.com

License:

General Acute Care Hospital
View License Information... Link to Atlas

Contact:

Nora Wallace
805-737-5749

OSHPD ID:

206420552

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

12/1/2015

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

12/1/2015

Discount Payments

FPL Range: 201%-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:

12/1/2015

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: SSI or Disability

Language Information

Available Languages:

English
Spanish

Additional Information

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