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CAH061322-03 Salida Hospital District DBA Heart of the Rockies Regional Medical Center (Terminated)
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Main Details
Name
Salida Hospital District DBA Heart of the Rockies Regional Medical Center
Subdivision Name
SALIDA HOSPITAL DISTRICT / Neurology
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061322-03
Medicare Provider Number
061322
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/24/2015
Last Recertification Date
8/27/2018
Termination Date
Termination Reason
10/1/2019
Other
Contacts
Authorizing Official
Salida Hospital District
Lesley Fagerberg, VP Finance
(719) 530-2213
Primary Contact
Salida Hospital District
Mark Ceglowski, Pharmacy Director
(719) 530-2290
Addresses
Street Address
550 W HWY 50
HEART OF THE ROCKIES MED CNTR MEDICAL CLINICS
SALIDA, CO 81201-2238
Billing Address
Salida Hosptial District
PO Box 429
Salida, CO 81201-0429
Comments
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