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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (11/1/2022)
2014-2015 (2/6/2015)
2014-2015 (2/6/2015)
2012-2013 (6/5/2012)
2012-2013 (6/5/2012)
2008-2009 (4/30/2010)
2010-2011 (4/30/2010)
2010-2011 (4/30/2010)
2008-2009 (6/17/2008)
2008-2009 (6/17/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
LOMPOC VALLEY MEDICAL CENTER
1515 E. OCEAN AVENUE
LOMPOC, CA 93436
http://Lompocvmc.com
License:
General Acute Care Hospital
Total Beds:
60
Emergency Room:
Yes
more...
Contact:
Nora Wallace
805-737-5749
OSHPD ID:
106420491
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
12/1/2015
Download:
Policy File
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:
12/1/2015
Discount Payments
Discount Payment
1
FPL Range:
201
%-
400
%
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:
Application Form Information
Application Form Eff Date:
12/1/2015
Download:
Application File
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%
