340B Drug Pricing Program Database
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DSH060020 PARKVIEW MEDICAL CENTER (Active)
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Main Details
Name
PARKVIEW MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060020
Medicare Provider Number
060020
Additional Details
Current Program Status
Active
Registration Date
9/2/2008
Participating Start Date
9/2/2008
Participating Approval Date
9/2/2008
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Parkview Medical Center
Jon E. Riggs, Chief Financial Officer
(719) 584-4788
Primary Contact
Parkview Medical Center
Joan Patricia Barickman, Pharmacy Administrative Coordinator
(719) 584-4914
Addresses
Street Address
400 WEST 16TH STREET
PUEBLO, CO 81003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %; ORIG PART AS DSH81013 FROM 7/1/2004 - 6/30/2007, NOT ELIG FROM 7/1/2007 TO 9/1/2008
10/19/2009
April 2025
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