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DSH060030 BANNER MCKEE MEDICAL CENTER (Terminated)
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Main Details
Name
BANNER MCKEE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060030
Medicare Provider Number
060030
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2015
Participating Start Date
3/15/2022
Participating Approval Date
7/7/2015
Last Recertification Date
8/30/2022
Termination Date
Termination Reason
7/1/2023
DSH percentage below statutory minimum
Contacts
Authorizing Official
Banner Health
Patricia Gibson, Western Division Senior Finance Director
(970) 810-6140
Primary Contact
Banner Health - McKee Medical Center
Artie Cann, Sr. Manager of Pharmacy
(970) 820-6644
Addresses
Street Address
2000 BOISE AVENUE
LOVELAND, CO 80538
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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