Yes
DSH060031A | Child | DSH | Penrose Hospital | St. Francis Medical Center - Catholic Health Initiatives Colorado Operating Room | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031AA | Child | DSH | Penrose Hospital | St. Francis Medical Center - Ambulatory Care/PACU - PACU | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031AB | Child | DSH | Penrose Hospital | Penrose Cardiology - Cardiology | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AC | Child | DSH | Penrose Hospital | Wound Care - Wound Care | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AD | Child | DSH | Penrose Hospital | ED OBSERVATION UNIT - ED OBSERVATION UNIT | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AE | Child | DSH | Penrose Hospital | MRI - MRI | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AF | Child | DSH | Penrose Hospital | RADIOISOTOPE - RADIOISOTOPE | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AG | Child | DSH | Penrose Hospital | RESPIRATORY THERAPY - RESPIRATORY THERAPY | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AH | Child | DSH | Penrose Hospital | RENAL DIALYSIS - RENAL DIALYSIS | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AJ | Child | DSH | Penrose Hospital | LABORATORY - LABORATORY | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AK | Child | DSH | Penrose Hospital | RADIOLOGY-THERAPEUTIC - RADIOLOGY-THERAPEUTIC | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031AL | Child | DSH | Penrose Hospital | SLEEP CENTER - SLEEP CENTER | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | Active |
DSH060031B | Child | DSH | Penrose Hospital | St. Francis Medical Center - Emergency Room | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031C | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Women's Surgery Center | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031D | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Wound Clinic | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031E | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Cardiac Rehabilitation | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031F | Child | DSH | Penrose Hospital | St. Francis Medical Center - Gastro Intestinal Services-GI LAB | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031G | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Sleep Center | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031H | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Renal Dialysis | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031J | Child | DSH | Penrose Hospital | St. Francis Medical Center - Electrocardiology | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031K | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Speech Pathology | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031L | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Physical Therapy | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031M | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Respiratory Therapy | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031N | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Blood Bank | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031P | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Laboratory | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031Q | Child | DSH | Penrose Hospital | St. Francis Medical Center - Cardiac Catheterization | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031R | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Magnetic Resonance Imaging (MRI) | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031S | Child | DSH | Penrose Hospital | St. Francis Medical Center - CT Scan | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031T | Child | DSH | Penrose Hospital | Radioisotope | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031U | Child | DSH | Penrose Hospital | SFMC Ultrasound | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031V | Child | DSH | Penrose Hospital | Radiology-Diagnostic | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031W | Child | DSH | Penrose Hospital | Delivery Room & Labor Room | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031X | Child | DSH | Penrose Hospital | St. Francis Medical Center - Infusion Therapy - Infusion Therapy | 6001 E Woodmen Rd | Colorado Springs | CO | Active |
DSH060031Y | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Electro Physiology Lab - SFMC Electro Physiology Lab | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
DSH060031Z | Child | DSH | PENROSE/ST. FRANCIS HEALTHCARE | St. Francis Medical Center - Special Procedures - SFMC Special Procedures | 6001 E Woodmen Rd | Colorado Springs | CO | Terminated |
Details | State | Update | | To Be Terminated | Terminated | 10/1/2020 12:01 AM |
Dates | Last Date That 340B Drugs Purchased | Update | Recertification | | 8/28/2020 12:00:00 AM | 9/2/2020 7:31 AM |
Details | State | Update | Recertification | Active | To Be Terminated | 9/2/2020 7:31 AM |
Terminations | Termination Comments | Update | Recertification | | Location is a part of Audobon facility, not a part of parent organization cost report | 9/2/2020 7:31 AM |
Terminations | Termination Date | Update | Recertification | | 10/1/2020 12:00:00 AM | 9/2/2020 7:31 AM |
Terminations | Termination Effective Date | Update | Recertification | | 8/28/2020 12:00:00 AM | 9/2/2020 7:31 AM |
Terminations | Termination Reason | Update | Recertification | | Other | 9/2/2020 7:31 AM |
Addresses | Billing Address | Insert | Change Request | | Centura Health/AP Dept
PO Box 372660
Denver, CO 80237 | 9/24/2019 7:44 PM |
Details | Last Recertification Date | Update | Recertification | 8/20/2018 1:34:50 PM | 9/10/2019 10:08:49 AM | 9/10/2019 10:08 AM |
Details | Last Recertification Date | Update | Recertification | 11/8/2017 12:23:28 PM | 8/20/2018 1:34:50 PM | 8/20/2018 1:34 PM |
Contacts | Authorizing Official | Update | Change Request | Sabin, Margaret
CEO, Penrose-St. Francis Health Services
Centura-Penrose St. Francis Health Services
7197765007 | Ballard, Patrick T
Chief Financial Officer, Penrose-St. Francis Health Services
Centura-Penrose St. Francis
7197765911 | 5/23/2018 4:14 PM |
Details | Last Recertification Date | Update | Recertification | | 11/8/2017 12:23:28 PM | 11/8/2017 12:23 PM |
Contacts | Authorizing Official | Update | | Sabin, Margaret
CEO, Penrose-St. Francis Health Services
7197765007 | Sabin, Margaret
CEO, Penrose-St. Francis Health Services
Centura-Penrose St. Francis Health Services
7197765007 | 11/8/2017 12:11 PM |
Contacts | Signed By | Update | | Sabin, Margaret
CEO, Penrose-St. Francis Health Services
7197765007 | Sabin, Margaret
CEO, Penrose-St. Francis Health Services
Centura-Penrose St. Francis Health Services
7197765007 | 11/8/2017 12:11 PM |
Contacts | Primary Contact | Update | | Schlang, Alison
Director of Pharmacy, Penrose-St. Francis Health Services
7197764489 | Schlang, Alison
Director of Pharmacy, Penrose-St. Francis Health Services
Centura-Penrose St. Francis
7197764489 | 10/20/2017 4:49 PM |
Addresses | Main Address | Insert | | |
6001 E Woodmen Rd
Colorado Springs, CO 80923 | 5/8/2017 5:41 PM |
Contacts | Authorizing Official | Insert | | | Sabin, Margaret
CEO, Penrose-St. Francis Health Services
7197765007 | 5/8/2017 5:41 PM |
Contacts | Signed By | Insert | | | Sabin, Margaret
CEO, Penrose-St. Francis Health Services
7197765007 | 5/8/2017 5:41 PM |
Contacts | Primary Contact | Insert | | | Schlang, Alison
Director of Pharmacy, Penrose-St. Francis Health Services
7197764489 | 5/8/2017 5:41 PM |
Dates | Participating Approval Date | Update | | | 5/8/2017 12:00:00 AM | 5/8/2017 5:38 PM |
Details | State | Update | | Pending | Active | 5/8/2017 5:38 PM |
Dates | Start Date | Update | | | 7/1/2017 12:00:00 AM | 5/8/2017 5:38 PM |
Details | 340B ID | Update | | OUTPATIENT_ONLINE_REG_77529 | DSH060031E | 5/2/2017 11:02 AM |
Details | 340B ID | Update | | | OUTPATIENT_ONLINE_REG_77529 | 4/28/2017 12:43 PM |
Medicaid Billing | Medicaid: Is Primary | Insert | | | False | 4/28/2017 12:43 PM |
Medicaid Billing | Medicaid: Number | Insert | | | 05031000 | 4/28/2017 12:43 PM |
Medicaid Billing | Medicaid: State | Insert | | | CO | 4/28/2017 12:43 PM |
Medicaid Billing | NPI: Number | Insert | | | 1932112125 | 4/28/2017 12:43 PM |
Details | Last Recertification Date | Insert | | | | 4/28/2017 12:43 PM |
Details | Grant Number | Insert | | | | 4/28/2017 12:43 PM |
Details | 340B ID | Insert | | | | 4/28/2017 12:43 PM |
Details | Is Authorizing Official EHB Data | Insert | | | | 4/28/2017 12:43 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 4/28/2017 12:43 PM |
Details | Medicare Provider Number | Insert | | | 060031 | 4/28/2017 12:43 PM |
Details | Entity Name | Insert | | | PENROSE/ST. FRANCIS HEALTHCARE | 4/28/2017 12:43 PM |
Details | Program Code | Insert | | | DSH | 4/28/2017 12:43 PM |
Details | Entity Subname | Insert | | | St. Francis Medical Center - Cardiac Rehabilitation | 4/28/2017 12:43 PM |
Dates | Participating Approval Date | Insert | | | | 4/28/2017 12:43 PM |
Details | State | Insert | | | Pending | 4/28/2017 12:43 PM |
Dates | Registration Date | Insert | | | 4/28/2017 12:00:00 AM | 4/28/2017 12:43 PM |
Dates | Signed By Date | Insert | | | 4/28/2017 12:00:00 AM | 4/28/2017 12:43 PM |
Dates | Start Date | Insert | | | | 4/28/2017 12:43 PM |
Terminations | Termination Comments | Insert | | | | 4/28/2017 12:43 PM |
Terminations | Termination Date | Insert | | | | 4/28/2017 12:43 PM |
Terminations | Termination Effective Date | Insert | | | | 4/28/2017 12:43 PM |
Terminations | Termination Reason | Insert | | | | 4/28/2017 12:43 PM |