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DSH060011A DENVER HEALTH MEDICAL CENTER (Active)
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Main Details
Name
DENVER HEALTH MEDICAL CENTER
Subdivision Name
DENVER HEALTH PRIMARY CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060011A
Medicare Provider Number
060011
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/28/2007
Participating Start Date
4/1/1996
Participating Approval Date
2/28/2007
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Denver Health and Hospital Authority
Kris Gaw, Chief Operating Officer
(303) 602-4985
Primary Contact
Denver Health and Hospital Authority
Nathalie Seoldo-Hinman, Admin Director of Pharmacy Services
(303) 602-9211
Addresses
Street Address
301 W. 6TH AVE
DENVER, CO 80204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/2/07 - SUB-DIV NAME CHANGE (WAS DAVIS PAVILION PHARMACY), ADDR CHANGE (WAS 700 DELAWARE STREET)
02/28/2007
May 2025
May 2025
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