340B Drug Pricing Program Database
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DSH060001B Banner North Colorado Medical Center (Active)
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Main Details
Name
Banner North Colorado Medical Center
Subdivision Name
BANNER NORTH COLORADO EMERGENCY CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060001B
Medicare Provider Number
060001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/16/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Banner Health
Patricia Gibson, Western Division Senior Finance Director
(970) 810-6140
Primary Contact
BannerHealth
Natalie Louise Yount, Director of Pharmacy
(970) 810-6901
Addresses
Street Address
2000 70th Ave
Greeley, CO 80634-8626
Billing Address
Banner North Colorado Medical Center
1801 16th St
Greeley, CO 80631
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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