340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH08073L METRO COMMUNITY PROVIDER NETWORK, INC. (Terminated)
Print
Main Details
Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
JEFFERSON HIGH SCHOOL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002615
340B ID
CH08073L
Grant Number
H80CS00217
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/19/2013
Last Recertification Date
3/1/2018
Termination Date
Termination Reason
7/1/2018
Site closure
Contacts
Authorizing Official
Metro Community Provider Network
Ben Wiederholt, CEO
(303) 761-1977 Ext: 1103
Primary Contact
Metro Community Provider Network
Paula Alexander, Director of Pharmacy
(303) 360-6276 Ext: 2106
Addresses
Street Address
2305 PIERCE ST
EDGEWATER, CO 80214-1031
Billing Address
METRO COMMUNITY PROVIDER NETWORK
3701 S BROADWAY
ENGLEWOOD, CO 80113-3611
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites 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.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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