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DSH060024V UNIVERSITY OF COLORADO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
LONETREE PRIMCARE, FAM/INT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024V
Medicare Provider Number
060024
Outpatient Facility Provider Number
060024
Additional Details
Current Program Status
Active
Registration Date
10/3/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/26/2013
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
UCHealth
Julie Nickell, Chief Financial Officer - Metro
(720) 848-7773
Primary Contact
University of Colorado Hospital
Adam Matthew Poust, Manager, Pharmacy Hospital Operations
(720) 848-3243
Addresses
Street Address
9540 Park Meadows Drive
Lone Tree, CO 80124
Billing Address
UCHealth Accounts Payable
2400 S. Peoria Street
211
Aurora, CO 80014
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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