340B Drug Pricing Program Database
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CAH061308-00 Conejos County Hospital Corporation (Terminated)
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Main Details
Name
Conejos County Hospital Corporation
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061308-00
Medicare Provider Number
061308
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/24/2012
Last Recertification Date
8/21/2018
Termination Date
Termination Reason
7/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
San Luis Valley Regional Medical Center
Konnie Martin, CEO
(719) 587-1202
Primary Contact
San Luis Valley Reg. Med Ctr
Lee Hankins, Pharmacy Director
(719) 587-1261 Ext: 1261
Addresses
Street Address
19021 US Hwy 285
La Jara, CO 81140
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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