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DSH060024S UNIVERSITY OF COLORADO HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
TomoTherapy Cancer Treatment Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024S
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/27/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
9/1/2020
Termination Date
Termination Reason
7/1/2021
Site closure
Contacts
Authorizing Official
UCHealth Memorial Hospital and Pikes Peak Regional Hospital
Barbara Ann Carveth, Chief Financial Officer
(720) 848-7773
Primary Contact
University of Colorado Hospital
Nancy Stolpman, Pharmacy Director
(720) 848-6976
Addresses
Street Address
10463 Park Meadows Drive
Suite 111
Lone Tree, CO 80124
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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