340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH061321-00 Trinidad Area Health Association DBA Mount San Rafael Hospital (Active)
Print
Main Details
Name
Trinidad Area Health Association DBA Mount San Rafael Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061321-00
Medicare Provider Number
061321
Additional Details
Current Program Status
Active
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Mt San Rafael Hospital
Calvin Carey, CFO
(719) 846-8042
Primary Contact
Trinidad Area Health Association
Monica Montoya, 340B Coordinator
(719) 846-8038
Addresses
Street Address
410 Benedicta Avenue
Trinidad, CO 81082-2005
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session