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CAH061301-00 RIO GRANDE HOSPITAL (Active)
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Main Details
Name
RIO GRANDE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061301-00
Medicare Provider Number
061301
Additional Details
Current Program Status
Active
Registration Date
9/7/2010
Participating Start Date
9/9/2010
Participating Approval Date
9/7/2010
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Rio Grande Hospital
ARLENE HARMS, CEO
(719) 657-4104
Primary Contact
Rio Grande Hospital
Lindsay Christensen, Pharmacy Director
(719) 657-2510
Addresses
Street Address
310 COUNTY ROAD 14
DEL NORTE, CO 81132
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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