340B Drug Pricing Program Database

Name

BOULDER COMMUNITY HOSPITAL

Subdivision Name

BEACON CENTER FOR INFECTIOUS DISEASE

Type

Ryan White Part C

340B ID

HV80304

Grant Number

H76HA02486

Current Program Status

Terminated

Registration Date

4/1/2004

Participating Start Date

4/1/2004

Participating Approval Date

3/4/2004

Last Recertification Date

2/15/2017

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2018
Failure to recertify

Authorizing Official

Boulder Community Health
Ellen Tucker, Case Manager
(303) 415-8835

Primary Contact

Boulder Community Health
Ellen Tucker, Case Manager
(303) 415-8835

Street Address

4800 Riverbend Rd.
Ste. 200
BOULDER, CO 80301

Billing Address
Same as Street Address