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DSH060024E UNIVERSITY OF COLORADO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
UNIVERSITY LOWRY CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024E
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/5/2007
Participating Start Date
7/1/1997
Participating Approval Date
11/5/2007
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
UCHealth
Julie Nickell, Chief Financial Officer - Metro
(720) 848-7773
Primary Contact
University of Colorado Hospital
Adam Matthew Poust, Manager, Pharmacy Hospital Operations
(720) 848-3243
Addresses
Street Address
8111 E. LOWRY BLVD
SUITE 110
DENVER, CO 80230
Billing Address
UCHealth Accounts Payable
2400 S. Peoria Street
211
Aurora, CO 80014
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/23/12 Inadvertent termination rescinded prior to effective date 2/23/12 sub entity name change from Pharmacy to Clinic 2/17/10 PHYS ADDR UPDATED (WAS 360 S GARFIELD ST)9/21/073/3/08- SUBDIVISION NAME CHANGE (WAS GARFIELD PHARMACY); 5/4/06 REMOVE ADDRESS LINE 2 (WAS 4200 E 9TH AV, A027, DENVER)
02/23/2012
2/23/12 sub entitiy name change from Pharmacy to Clinic 2/17/10 PHYS ADDR UPDATED (WAS 360 S GARFIELD ST)9/21/073/3/08- SUBDIVISION NAME CHANGE (WAS GARFIELD PHARMACY); 5/4/06 REMOVE ADDRESS LINE 2 (WAS 4200 E 9TH AV, A027, DENVER)
02/23/2012
2/17/10 PHYS ADDR UPDATED (WAS 360 S GARFIELD ST)9/21/073/3/08- SUBDIVISION NAME CHANGE (WAS GARFIELD PHARMACY); 5/4/06 REMOVE ADDRESS LINE 2 (WAS 4200 E 9TH AV, A027, DENVER)
02/17/2010
April 2025
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