340B Drug Pricing Program Database
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DSH060001A North Colorado Medical Center (Terminated)
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Main Details
Name
North Colorado Medical Center
Subdivision Name
SUMMIT VIEW MEDICAL COMMONS-RADIOLOGY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060001A
Medicare Provider Number
060001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/16/2016
Last Recertification Date
8/24/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Banner Health
Matthew P Huff, CFO
(480) 543-2277
Primary Contact
BannerHealth
Natalie Louise Yount, Director of Pharmacy
(970) 810-6901
Addresses
Street Address
2001 70TH AVE
GREELEY, CO 80634-4621
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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