340B Drug Pricing Program Database
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DSH060001G Banner North Colorado Medical Center (Active)
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Main Details
Name
Banner North Colorado Medical Center
Subdivision Name
Banner MD Anderson Cancer Center Plastic Surgery at Banner North Colorado Medical Center - Surgical Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060001G
Medicare Provider Number
060001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/16/2024
Last Recertification Date
Contacts
Authorizing Official
Banner Health
Patricia Gibson, Western Division Senior Finance Director
(970) 810-6140
Primary Contact
BannerHealth
Natalie Louise Yount, Director of Pharmacy
(970) 810-6901
Addresses
Street Address
1801 16th Street
Greeley, CO 80631
Billing Address
Banner Health Accounts Payable
Po Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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