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DSH060024W UNIVERSITY OF COLORADO HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
ASC - Lone Tree Amb Surgery Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024W
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/31/2014
Last Recertification Date
8/28/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
UCHealth Memorial Hospital and Pikes Peak Regional Hospital
Barbara Ann Carveth, Chief Financial Officer
(720) 848-7773
Primary Contact
University of Colorado Hospital
Nancy Stolpman, Pharmacy Director
(720) 848-6976
Addresses
Street Address
9218 Kimmer Drive
Lone Tree, CO 80124
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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