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CAH061328-00 UPPER SAN JUAN HEALTH SERVICE DISTRICT (Active)
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Main Details
Name
UPPER SAN JUAN HEALTH SERVICE DISTRICT
Subdivision Name
PAGOSA SPRINGS MEDICAL CENTER
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061328-00
Medicare Provider Number
061328
Additional Details
Current Program Status
Active
Registration Date
2/18/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/2/2011
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Pagosa Springs Medical Center
Chelle Keplinger, CFO
(970) 507-3803
Primary Contact
Pagosa Springs Medical Center
Christina Reeves, Director of Pharmacy
(970) 507-3965
Addresses
Street Address
95 SOUTH PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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