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DSH060024AD UNIVERSITY OF COLORADO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
Radiology Diagnostic Lone Tree
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024AD
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/31/2014
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
9548 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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