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DSH060024O UNIVERSITY OF COLORADO HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
PARK MEADOWS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024O
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/5/2007
Participating Start Date
10/1/2003
Participating Approval Date
11/5/2007
Last Recertification Date
9/6/2022
Termination Date
Termination Reason
7/1/2023
Other
Contacts
Authorizing Official
University of Colorado Hospital
Jon David Alford, CFO
(405) 248-8842
Primary Contact
University of Colorado Hospital
Adam Matthew Poust, Manager, Pharmacy Hospital Operations
(720) 848-3243
Addresses
Street Address
9540 Park Meadows Drive
LONETREE, CO 80124
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/21/07 DELETED ADDR 2 (WAS 4200 E 9TH AVE, A027, DENVER)
11/05/2007
April 2025
April 2025
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