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DSH060011CW DENVER HEALTH MEDICAL CENTER (Active)
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Main Details
Name
DENVER HEALTH MEDICAL CENTER
Subdivision Name
Denver Health Pavilion L / Ortho Radiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060011CW
Medicare Provider Number
060011
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/11/2016
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Denver Health and Hospital Authority
Kris Gaw, Chief Operating Officer
(303) 602-4985
Primary Contact
Denver Health and Hospital Authority
Nathalie Seoldo-Hinman, Admin Director of Pharmacy Services
(303) 602-9211
Addresses
Street Address
660 N Bannock St.
Denver, CO 80204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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