340B Drug Pricing Program Database


DSH060031E PENROSE/ST. FRANCIS HEALTHCARE (Terminated) - information as of 6/9/2025 11:01:44 PM

Main Details
PENROSE/ST. FRANCIS HEALTHCARE
St. Francis Medical Center - Cardiac Rehabilitation
Disproportionate Share Hospital
Yes
DSH060031E
060031


Additional Details
Terminated
4/28/2017
7/1/2017
5/8/2017
9/10/2019

10/1/2020
Other

Contacts

Centura-Penrose St. Francis
Patrick T Ballard, Chief Financial Officer, Penrose-St. Francis Health Services
(719) 776-5911

Centura-Penrose St. Francis
Alison Schlang, Director of Pharmacy, Penrose-St. Francis Health Services
(719) 776-4489

Addresses

6001 E Woodmen Rd
Colorado Springs, CO 80923

Centura Health/AP Dept
PO Box 372660
Denver, CO 80237


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CO05031000 
  1932112125
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH060031AChildDSHPenrose HospitalSt. Francis Medical Center - Catholic Health Initiatives Colorado Operating Room6001 E Woodmen RdColorado SpringsCOActive
DSH060031AAChildDSHPenrose HospitalSt. Francis Medical Center - Ambulatory Care/PACU - PACU6001 E Woodmen RdColorado SpringsCOActive
DSH060031ABChildDSHPenrose HospitalPenrose Cardiology - Cardiology2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031ACChildDSHPenrose HospitalWound Care - Wound Care2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031ADChildDSHPenrose HospitalED OBSERVATION UNIT - ED OBSERVATION UNIT2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031AEChildDSHPenrose HospitalMRI - MRI2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031AFChildDSHPenrose HospitalRADIOISOTOPE - RADIOISOTOPE2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031AGChildDSHPenrose HospitalRESPIRATORY THERAPY - RESPIRATORY THERAPY2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031AHChildDSHPenrose HospitalRENAL DIALYSIS - RENAL DIALYSIS2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031AJChildDSHPenrose HospitalLABORATORY - LABORATORY2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031AKChildDSHPenrose HospitalRADIOLOGY-THERAPEUTIC - RADIOLOGY-THERAPEUTIC2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031ALChildDSHPenrose HospitalSLEEP CENTER - SLEEP CENTER2222 N NEVADA AVECOLORADO SPRINGSCOActive
DSH060031BChildDSHPenrose HospitalSt. Francis Medical Center - Emergency Room6001 E Woodmen RdColorado SpringsCOActive
DSH060031CChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Women's Surgery Center6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031DChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Wound Clinic6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031EChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Cardiac Rehabilitation6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031FChildDSHPenrose HospitalSt. Francis Medical Center - Gastro Intestinal Services-GI LAB6001 E Woodmen RdColorado SpringsCOActive
DSH060031GChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Sleep Center6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031HChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Renal Dialysis6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031JChildDSHPenrose HospitalSt. Francis Medical Center - Electrocardiology6001 E Woodmen RdColorado SpringsCOActive
DSH060031KChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Speech Pathology6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031LChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Physical Therapy6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031MChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Respiratory Therapy6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031NChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Blood Bank6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031PChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Laboratory6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031QChildDSHPenrose HospitalSt. Francis Medical Center - Cardiac Catheterization6001 E Woodmen RdColorado SpringsCOActive
DSH060031RChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Magnetic Resonance Imaging (MRI)6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031SChildDSHPenrose HospitalSt. Francis Medical Center - CT Scan6001 E Woodmen RdColorado SpringsCOActive
DSH060031TChildDSHPenrose HospitalRadioisotope6001 E Woodmen RdColorado SpringsCOActive
DSH060031UChildDSHPenrose HospitalSFMC Ultrasound6001 E Woodmen RdColorado SpringsCOActive
DSH060031VChildDSHPenrose HospitalRadiology-Diagnostic6001 E Woodmen RdColorado SpringsCOActive
DSH060031WChildDSHPenrose HospitalDelivery Room & Labor Room6001 E Woodmen RdColorado SpringsCOActive
DSH060031XChildDSHPenrose HospitalSt. Francis Medical Center - Infusion Therapy - Infusion Therapy6001 E Woodmen RdColorado SpringsCOActive
DSH060031YChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Electro Physiology Lab - SFMC Electro Physiology Lab6001 E Woodmen RdColorado SpringsCOTerminated
DSH060031ZChildDSHPENROSE/ST. FRANCIS HEALTHCARESt. Francis Medical Center - Special Procedures - SFMC Special Procedures6001 E Woodmen RdColorado SpringsCOTerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated10/1/2020 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateRecertification 8/28/2020 12:00:00 AM9/2/2020 7:31 AM
DetailsStateUpdateRecertificationActiveTo Be Terminated9/2/2020 7:31 AM
TerminationsTermination CommentsUpdateRecertification Location is a part of Audobon facility, not a part of parent organization cost report9/2/2020 7:31 AM
TerminationsTermination DateUpdateRecertification 10/1/2020 12:00:00 AM9/2/2020 7:31 AM
TerminationsTermination Effective DateUpdateRecertification 8/28/2020 12:00:00 AM9/2/2020 7:31 AM
TerminationsTermination ReasonUpdateRecertification Other9/2/2020 7:31 AM
AddressesBilling AddressInsertChange Request Centura Health/AP Dept PO Box 372660 Denver, CO 802379/24/2019 7:44 PM
DetailsLast Recertification DateUpdateRecertification8/20/2018 1:34:50 PM9/10/2019 10:08:49 AM9/10/2019 10:08 AM
DetailsLast Recertification DateUpdateRecertification11/8/2017 12:23:28 PM8/20/2018 1:34:50 PM8/20/2018 1:34 PM
ContactsAuthorizing OfficialUpdateChange RequestSabin, Margaret CEO, Penrose-St. Francis Health Services Centura-Penrose St. Francis Health Services 7197765007Ballard, Patrick T Chief Financial Officer, Penrose-St. Francis Health Services Centura-Penrose St. Francis 71977659115/23/2018 4:14 PM
DetailsLast Recertification DateUpdateRecertification 11/8/2017 12:23:28 PM11/8/2017 12:23 PM
ContactsAuthorizing OfficialUpdate Sabin, Margaret CEO, Penrose-St. Francis Health Services 7197765007Sabin, Margaret CEO, Penrose-St. Francis Health Services Centura-Penrose St. Francis Health Services 719776500711/8/2017 12:11 PM
ContactsSigned ByUpdate Sabin, Margaret CEO, Penrose-St. Francis Health Services 7197765007Sabin, Margaret CEO, Penrose-St. Francis Health Services Centura-Penrose St. Francis Health Services 719776500711/8/2017 12:11 PM
ContactsPrimary ContactUpdate Schlang, Alison Director of Pharmacy, Penrose-St. Francis Health Services 7197764489Schlang, Alison Director of Pharmacy, Penrose-St. Francis Health Services Centura-Penrose St. Francis 719776448910/20/2017 4:49 PM
AddressesMain AddressInsert   6001 E Woodmen Rd Colorado Springs, CO 809235/8/2017 5:41 PM
ContactsAuthorizing OfficialInsert  Sabin, Margaret CEO, Penrose-St. Francis Health Services 71977650075/8/2017 5:41 PM
ContactsSigned ByInsert  Sabin, Margaret CEO, Penrose-St. Francis Health Services 71977650075/8/2017 5:41 PM
ContactsPrimary ContactInsert  Schlang, Alison Director of Pharmacy, Penrose-St. Francis Health Services 71977644895/8/2017 5:41 PM
DatesParticipating Approval DateUpdate  5/8/2017 12:00:00 AM5/8/2017 5:38 PM
DetailsStateUpdate PendingActive5/8/2017 5:38 PM
DatesStart DateUpdate  7/1/2017 12:00:00 AM5/8/2017 5:38 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_77529DSH060031E5/2/2017 11:02 AM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_775294/28/2017 12:43 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/28/2017 12:43 PM
Medicaid BillingMedicaid: NumberInsert  050310004/28/2017 12:43 PM
Medicaid BillingMedicaid: StateInsert  CO4/28/2017 12:43 PM
Medicaid BillingNPI: NumberInsert  19321121254/28/2017 12:43 PM
DetailsLast Recertification DateInsert   4/28/2017 12:43 PM
DetailsGrant NumberInsert   4/28/2017 12:43 PM
Details340B IDInsert   4/28/2017 12:43 PM
DetailsIs Authorizing Official EHB DataInsert   4/28/2017 12:43 PM
DatesLast Date That 340B Drugs PurchasedInsert   4/28/2017 12:43 PM
DetailsMedicare Provider NumberInsert  0600314/28/2017 12:43 PM
DetailsEntity NameInsert  PENROSE/ST. FRANCIS HEALTHCARE4/28/2017 12:43 PM
DetailsProgram CodeInsert  DSH4/28/2017 12:43 PM
DetailsEntity SubnameInsert  St. Francis Medical Center - Cardiac Rehabilitation4/28/2017 12:43 PM
DatesParticipating Approval DateInsert   4/28/2017 12:43 PM
DetailsStateInsert  Pending4/28/2017 12:43 PM
DatesRegistration DateInsert  4/28/2017 12:00:00 AM4/28/2017 12:43 PM
DatesSigned By DateInsert  4/28/2017 12:00:00 AM4/28/2017 12:43 PM
DatesStart DateInsert   4/28/2017 12:43 PM
TerminationsTermination CommentsInsert   4/28/2017 12:43 PM
TerminationsTermination DateInsert   4/28/2017 12:43 PM
TerminationsTermination Effective DateInsert   4/28/2017 12:43 PM
TerminationsTermination ReasonInsert   4/28/2017 12:43 PM