SAN DIMAS COMMUNITY HOSPITAL
1350 WEST COVINA BOULEVARD
SAN DIMAS, CA 91773
http://www.sandimashospital.com
Contact:
MONIQUE PADILLA
(909) 292-9451
License:
General Acute Care Hospital
Total Beds: 101
Emergency Room: Yes
OSHPD ID:
106190673
Fair Pricing Policy Information
Policy Effective Date:4/1/2020
Download:
Federal Poverty Level for Free Care:
350%
Discount Payment Effective Date:4/1/2020
Discount Payments:
Discount Payment 1
FPL Range: 351%-450%
Payment Basis:
Medicare
Medi-Cal
Discount Payment 2
FPL Range: 0%-0%
Payment Basis:
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:4/1/2020
Download:
Income Type Used:Salary Received
Interest Received
Pension Received
Other: TOTAL YEARLY INCOME FOR PATIENT AND SPOUSE
Language Information
Available Languages:
English
Spanish
Vietnamese
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106190673