340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HV00593 St. Mary's Hospital & Medical Center, Inc. (Active)
Print
Main Details
Name
St. Mary's Hospital & Medical Center, Inc.
Subdivision Name
Ryan White Part C HIV Clinic
Type
Ryan White Part C
340B ID
HV00593
Grant Number
H76HA00593
Additional Details
Current Program Status
Active
Registration Date
9/27/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/27/2012
Last Recertification Date
2/24/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2025
Contacts
Authorizing Official
Intermountain Healthcare
Vincent Donohue, Finance Director-Central UT Rural
(435) 983-0527
Primary Contact
Intermountain Health
Ben Landry, 340B Pharmacist
(207) 200-5264
Addresses
Street Address
2698 Patterson Road
Grand Junction, CO 81506
Billing Address
St. Mary's Hospital & Medical Center, Inc.
Attn: Accounts Payable
PO Box 1010
Lafayette, CO 80026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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