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DSH060024L UNIVERSITY OF COLORADO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
UMGP - BOULDER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024L
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/5/2007
Participating Start Date
10/1/2003
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
5495 Arapahoe Avenue
BOULDER, CO 80303-1260
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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9/21/07- DELETED ADD 2 LINE (WAS 4200 E 9TH AVE, A027, DENVER)
11/05/2007
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