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SCH060016-00 ST THOMAS MORE HOSPITAL (Terminated)
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Main Details
Name
ST THOMAS MORE HOSPITAL
Subdivision Name
Centura Health
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH060016-00
Medicare Provider Number
060016
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/16/2014
Last Recertification Date
9/7/2018
Termination Date
Termination Reason
4/1/2019
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
St. Thomas More Hospital
Kristi Olson, Chief Executive Officer
(719) 285-2039
Primary Contact
St. Thomas More Hospital
Sadie Spencer, Manager Pharmacy Operations
(719) 285-2295
Addresses
Street Address
1338 PHAY AVE
CANON CITY, CO 81212
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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