PACIFICA HOSPITAL OF THE VALLEY
9449 SAN FERNANDO ROAD
SUN VALLEY, CA 91352
http://www.pacificahospital.com
Contact:
Ayman Mousa
(818) 252-2490
License:
General Acute Care Hospital
Total Beds: 231
Emergency Room: Yes
OSHPD ID:
106190696
Fair Pricing Policy Information
Policy Effective Date:1/1/2008
Download:
Federal Poverty Level for Free Care:
350%
Discount Payment Effective Date:1/1/2008
Discount Payments:
Discount Payment 1
FPL Range: 350%-350%
Payment Basis:
Medicare
Discount Payment 2
FPL Range: 0%-0%
Payment Basis:
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
Patients with familial income levels that are at or below 350% of the FPL guidelines may be eligible to receive either charity care or discounted payments based upon an evaluation of the patient’s cirmcumstances by hospital management. See policy for additional information.
Application Form Information
Application Form Eff Date:1/1/2008
Download:
Income Type Used:
Salary Received
Language Information
Available Languages:
English
Spanish
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106190696