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DSH060004 Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital (Active)
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Main Details
Name
Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060004
Medicare Provider Number
060004
Additional Details
Current Program Status
Active
Registration Date
1/9/2006
Participating Start Date
4/1/2006
Participating Approval Date
1/11/2006
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Intermountain Health
Bryan Manson, Finance Director
(303) 689-5208
Primary Contact
Intermountain Health
Ben Landry, 340B Pharmacist
(207) 200-5264
Addresses
Street Address
1600 PRAIRIE CENTER PKWY.
BRIGHTON, CO 80601
Billing Address
Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital
PO Box 1010
Lafayette, CO 80026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/10/07-NEW ADDRESS WAS 1850 EGBERT ST, BRIGHTON, CO 80601-2404
07/16/2007
June 2025
June 2025
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