340B Drug Pricing Program Database


DSH060020 PARKVIEW MEDICAL CENTER (Active) - information as of 5/23/2025 12:05:21 AM

Main Details
PARKVIEW MEDICAL CENTER
Disproportionate Share Hospital
Yes
DSH060020
060020


Additional Details
Active
9/2/2008
9/2/2008
9/2/2008
8/26/2024

Contacts

Parkview Medical Center
Jon E. Riggs, Chief Financial Officer
(719) 584-4788

Parkview Medical Center
Joan Patricia Barickman, Pharmacy Administrative Coordinator
(719) 584-4914

Addresses

400 WEST 16TH STREET
PUEBLO, CO 81003

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %; ORIG PART AS DSH81013 FROM 7/1/2004 - 6/30/2007, NOT ELIG FROM 7/1/2007 TO 9/1/200810/19/2009
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CO 1104881507,1346205382,1821720681
NM 1104881507,1346205382,1821720681
KS 1104881507,1346205382,1821720681
NE 1104881507,1346205382,1821720681
Shipping Addresses

Parkview Pueblo West Pharmacy
899 East Industrial Blvd
Pueblo West, CO 81007

Parkview Pharmacy
400 W. 16th Street
6th Floor
Pueblo, CO 81003

The Pharmacy @ Parkview
400 WEST 16TH STREET
Suite 101
Pueblo, CO 81003

UCHealth Centralized Pharmacy
13050 E Smith Road
STE 103
Aurora, CO 80011
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailWELLDYNERX  7472 S. TUSCON WAY
SUITE 100-A 		CENTENNIALCO8011204/15/201104/15/2011 07/01/201710/24/2017
Contract DetailWELLDYNERX LLCDBA HEALTHDYNE PHARMACY 500 EAGLES LANDING DR
LAKELANDFL3381001/15/201604/01/2016 07/01/201703/30/2024
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH060020AChildDSHPARKVIEW MEDICAL CENTERPARKVIEW MEDICAL CENTER INC / Wound Care405 W 15TH STREET SUITE 210PUEBLOCOActive
DSH060020BChildDSHPARKVIEW MEDICAL CENTERPARKVIEW MEDICAL CENTER INC-OP Cardiac/Vascular Diagnostic Center3670 PARKER BOULEVARD - 1ST FLOORPUEBLOCOActive
DSH060020CChildDSHPARKVIEW MEDICAL CENTERPARKVIEW EMERGENCY SERVICES AT PUEB899 EAST INDUSTRIAL BLVDPUEBLO WESTCOActive
DSH060020DChildDSHPARKVIEW MEDICAL CENTERPARKVIEW OUTPATIENT CENTER - Parkview Outpatient Center330 W 14TH STPUEBLOCOActive
DSH060020EChildDSHPARKVIEW MEDICAL CENTERUC HEALTH/PARKVIEW MEDICAL CENTER - RADIATION ONCOLOGY525 W. 15th StreetPuebloCOActive
DSH060020FChildDSHPARKVIEW MEDICAL CENTERPARKVIEW PUEBLO WEST - PPW Surgical Services899 E INDUSTRIAL BLVDPUEBLO WESTCOActive
DSH060020GChildDSHPARKVIEW MEDICAL CENTERPARKVIEW MEDICAL CENTER INC - Anticoagulation Clinic54 CLUB MANOR DR 101PUEBLOCOActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressDeleteRecertificationThe Pharmacy @ Parkview 400 WEST 16TH STREET Suite 101 Pueblo, CO 81003 8/26/2024 8:22 AM
AddressesShipping AddressDeleteRecertificationUCHealth Centralized Pharmacy 13050 E Smith Road Aurora, CO 80011 8/26/2024 8:22 AM
AddressesShipping AddressInsertRecertification The Pharmacy @ Parkview 400 WEST 16TH STREET Suite 101 Pueblo, CO 810038/26/2024 8:22 AM
AddressesShipping AddressInsertRecertification UCHealth Centralized Pharmacy 13050 E Smith Road STE 103 Aurora, CO 800118/26/2024 8:22 AM
DetailsLast Recertification DateUpdateRecertification8/31/2023 10:06:55 AM8/26/2024 8:22:53 AM8/26/2024 8:22 AM
AddressesShipping AddressInsertChange Request UCHealth Centralized Pharmacy 13050 E Smith Road Aurora, CO 800118/5/2024 6:53 AM
AddressesShipping AddressInsertChange Request Parkview Pharmacy 400 W. 16th Street 6th Floor Pueblo, CO 810038/5/2024 6:53 AM
Medicaid BillingNPI: NumberInsertChange Request 11048815077/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request NM7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 13462053827/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request NM7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 18217206817/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request NM7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 11048815077/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request KS7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 13462053827/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request KS7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 18217206817/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request KS7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 11048815077/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request NE7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 13462053827/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request NE7/23/2024 9:27 PM
Medicaid BillingNPI: NumberInsertChange Request 18217206817/23/2024 9:27 PM
Medicaid BillingNPI: StateInsertChange Request NE7/23/2024 9:27 PM
AddressesShipping AddressInsertChange Request Parkview Pueblo West Pharmacy 899 East Industrial Blvd Pueblo West, CO 810071/10/2024 1:38 PM
DetailsLast Recertification DateUpdateRecertification9/7/2022 1:37:37 PM8/31/2023 10:06:55 AM8/31/2023 10:06 AM
Medicaid BillingNPI: NumberInsertRecertification 18217206819/7/2022 1:37 PM
Medicaid BillingNPI: StateInsertRecertification CO9/7/2022 1:37 PM
DetailsLast Recertification DateUpdateRecertification8/19/2021 10:58:55 AM9/7/2022 1:37:37 PM9/7/2022 1:37 PM
DetailsLast Recertification DateUpdateRecertification8/21/2020 6:43:47 PM8/19/2021 10:58:55 AM8/19/2021 10:58 AM
Medicaid BillingNPI: StateUpdateRecertification CO8/21/2020 6:43 PM
Medicaid BillingNPI: StateUpdateRecertification CO8/21/2020 6:43 PM
DetailsLast Recertification DateUpdateRecertification8/29/2019 3:29:11 PM8/21/2020 6:43:47 PM8/21/2020 6:43 PM
Medicaid BillingNPI: NumberInsertChange Request 11048815071/13/2020 5:09 PM
Medicaid BillingNPI: NumberInsertChange Request 13462053821/13/2020 5:09 PM
AddressesShipping AddressDeleteRecertificationThe Pharmacy @ Parkview 400 W. 16th Street Suite 101 Pueblo, CO 81003 8/29/2019 3:29 PM
AddressesShipping AddressInsertRecertification The Pharmacy @ Parkview 400 WEST 16TH STREET Suite 101 Pueblo, CO 810038/29/2019 3:29 PM
DetailsLast Recertification DateUpdateRecertification9/3/2018 8:53:46 AM8/29/2019 3:29:11 PM8/29/2019 3:29 PM
ContactsAuthorizing OfficialUpdateChange RequestBarnes, Leslie CFO Parkview Medical Center 7195844534Riggs, Jon E. Chief Financial Officer Parkview Medical Center 71958447883/25/2019 11:53 AM
AddressesShipping AddressInsertRecertification The Pharmacy @ Parkview 400 W. 16th Street Suite 101 Pueblo, CO 810039/3/2018 8:53 AM
AddressesShipping AddressDeleteRecertificationPharmacy @ Parkview 400 W. 16th Street Suite 297 Pueblo, CO 81003 9/3/2018 8:53 AM
DetailsLast Recertification DateUpdateRecertification11/17/2017 11:43:47 AM9/3/2018 8:53:46 AM9/3/2018 8:53 AM
DetailsLast Recertification DateUpdateRecertification9/1/2016 12:00:00 AM11/17/2017 11:43:47 AM11/17/2017 11:43 AM
ContactsPrimary ContactUpdateChange RequestHARDER, GREG DIRECTOR OF PHARMACY 7195844855Barickman, Joan Patricia Pharmacy Administrative Coordinator Parkview Medical Center 71958449149/25/2017 12:12 PM
ContactsAuthorizing OfficialUpdate Barnes, Leslie CFO 7195844534Barnes, Leslie CFO Parkview Medical Center 71958445349/25/2017 11:38 AM
AddressesMain AddressInsert   400 WEST 16TH STREET PUEBLO, CO 810039/1/2016 12:27 PM
ContactsPrimary ContactInsert  HARDER, GREG DIRECTOR OF PHARMACY 71958448559/1/2016 12:27 PM
ContactsAuthorizing OfficialUpdate PATTERSON, BILL CFO 7195844571Barnes, Leslie CFO 71958445349/1/2016 12:27 PM
DetailsLast Recertification DateUpdate 8/27/2015 12:00:00 AM9/1/2016 12:00:00 AM9/1/2016 12:27 PM
DetailsLast Recertification DateUpdate 9/3/2014 12:00:00 AM8/27/2015 12:00:00 AM8/27/2015 3:35 PM
AddressesShipping AddressInsert  Pharmacy @ Parkview 400 W. 16th Street Suite 297 Pueblo, CO 810035/22/2015 4:26 PM
DetailsLast Recertification DateUpdate 8/29/2013 12:00:00 AM9/3/2014 12:00:00 AM9/3/2014 9:27 PM
ContactsAuthorizing OfficialInsert  PATTERSON, BILL CFO 71958445717/3/2014 4:20 PM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/29/2013 12:00:00 AM8/29/2013 9:33 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/15/2012 7:18 AM
DetailsLast Recertification DateInsert   10/19/2009 2:15 PM
DetailsGrant NumberInsert   10/19/2009 2:15 PM
Details340B IDInsert  DSH06002010/19/2009 2:15 PM
DetailsIs Authorizing Official EHB DataInsert   10/19/2009 2:15 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/19/2009 2:15 PM
DetailsMedicare Provider NumberInsert  06002010/19/2009 2:15 PM
DetailsEntity NameInsert  PARKVIEW MEDICAL CENTER10/19/2009 2:15 PM
DetailsProgram CodeInsert  DSH10/19/2009 2:15 PM
DetailsEntity SubnameInsert   10/19/2009 2:15 PM
DatesParticipating Approval DateInsert  9/2/2008 12:00:00 AM10/19/2009 2:15 PM
DetailsStateInsert  Active10/19/2009 2:15 PM
DatesRegistration DateInsert  9/2/2008 12:00:00 AM10/19/2009 2:15 PM
DatesSigned By DateInsert  8/13/2008 12:00:00 AM10/19/2009 2:15 PM
DatesStart DateInsert  9/2/2008 12:00:00 AM10/19/2009 2:15 PM
TerminationsTermination CommentsInsert   10/19/2009 2:15 PM
TerminationsTermination DateInsert   10/19/2009 2:15 PM
TerminationsTermination Effective DateInsert   10/19/2009 2:15 PM
TerminationsTermination ReasonInsert   10/19/2009 2:15 PM
DetailsComments PublicInsert  8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %; ORIG PART AS DSH81013 FROM 7/1/2004 - 6/30/2007, NOT ELIG FROM 7/1/2007 TO 9/1/200810/19/2009 2:15 PM