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CH08073Y METRO COMMUNITY PROVIDER NETWORK, INC. (Terminated)
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Main Details
Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
MCPN Arapahoe Douglas Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013626
340B ID
CH08073Y
Grant Number
H80CS00217
Additional Details
Current Program Status
Terminated
Registration Date
7/3/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
David S. Myers, CEO
(303) 761-1977 Ext: 1104
Primary Contact
MCPN
Paula Alexander, Pharmacy Director
(303) 360-6276
Addresses
Street Address
61 W DAVIES AVE N
LITTLETON, CO 80120-5252
Billing Address
Metor Community Provider Network
3701 S Broadway
Englewood, CO 80113
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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