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DSH060020B PARKVIEW MEDICAL CENTER (Active)
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Main Details
Name
PARKVIEW MEDICAL CENTER
Subdivision Name
PARKVIEW MEDICAL CENTER INC-OP Cardiac/Vascular Diagnostic Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060020B
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
3670 PARKER BOULEVARD - 1ST FLOOR
PUEBLO, CO 81008-2285
Billing Address
UCHealth Parkview Medical Center
400 W. 16th Street
Pueblo, CO 81003
Comments
Medicaid Billing
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Contract Pharmacies
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