MONTCLAIR HOSPITAL MEDICAL CENTER

MONTCLAIR HOSPITAL MEDICAL CENTER
5000 SAN BERNARDINO STREET
MONTCLAIR, CA  91763
http://www.mhmc.com

Contact:

Edward Mirzabegian
(909) 625-5411

License:

General Acute Care Hospital
Total Beds:  106
Emergency Room:  Yes

OSHPD ID:

106361166

Fair Pricing Policy Information  

Policy Effective Date:1/1/2015

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

350%

Discount Payment Effective Date:1/1/2015

Discount Payments:

Discount Payment 1

FPL Range: 351%-450%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance

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:12/27/2007

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106361166

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