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SCH060013-00 Mercy Regional Medical Center (Terminated)
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Main Details
Name
Mercy Regional Medical Center
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH060013-00
Medicare Provider Number
060013
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/9/2013
Last Recertification Date
9/3/2019
Termination Date
Termination Reason
1/1/2020
Change of covered entity type
Contacts
Authorizing Official
Mercy Regional Medical Center
Jane Strobel, Chief Financial Officer
(970) 764-3909
Primary Contact
Mercy Regional Medical Center
Anna Swanson, Director of Pharmacy
(970) 764-2306
Addresses
Street Address
1010 Three Springs Blvd
Durango, CO 81301
Billing Address
Centura Health
PO Box 372660
Denver, CO 80237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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