Disproportionate share hospital · CA

Pavilion Primary Care

Name: 340B covered-entity record — Pavilion Primary Care (DSH050335H)
Creator: Velarion Records
License: https://www.hrsa.gov/about/website-policies

Filed under Sonora Community Hospital DBA Adventist Health Sonora, which files the Medicare cost report for this system.

Taking partYesLast certified23 August 2026

0Registered locations
2Associated locations
0Contract pharmacies
0With no end date
1 April 2017In 340B since

Finances, as filed

This record is a location registered under Sonora Community Hospital DBA Adventist Health Sonora, which files the Medicare cost report. The finances are on that record.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

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Follow this system for $2,990/year

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Cite this page

Velarion Records, “Pavilion Primary Care”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 2026-09-09. https://velarionrecords.com/340b/DSH050335H. Accessed 9 September 2026.

Participation, as filed

Participating: TRUE
Participation start date: 1 April 2017
Certification date: 23 August 2026
Record last edited: 23 August 2026

Identifiers

340B ID: DSH050335H
Entity type as filed: DSH
CMS certification number: 050335
NPI: 1780673376 (AZ,CA,NV)
Rural: Yes

900 Mono Way, Sonora CA 95370

Associated locations


Pavilion Primary Care	900 Mono Way	Sonora CA 95370
Sonora Community Hospital DBA Adventist Health Sonora	1000 Greenley Rd.	Sonora CA 95370

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 9 September 2026. This record has been read here since 6 September 2026.