340B Drug Pricing Program Database
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DSH060020C PARKVIEW MEDICAL CENTER (Active)
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Main Details
Name
PARKVIEW MEDICAL CENTER
Subdivision Name
PARKVIEW EMERGENCY SERVICES AT PUEB
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060020C
Medicare Provider Number
060020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/8/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/22/2015
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Parkview Medical Center
Jon E. Riggs, Chief Financial Officer
(719) 584-4788
Primary Contact
Parkview Medical Center
Joan Patricia Barickman, Pharmacy Administrative Coordinator
(719) 584-4914
Addresses
Street Address
899 EAST INDUSTRIAL BLVD
PUEBLO WEST, CO 81007-1442
Billing Address
PARKVIEW MEDICAL CENTER
899 EAST INDUSTRIAL BLVD
Pueblo West, CO 81007
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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