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DSH060011BB DENVER HEALTH MEDICAL CENTER (Active)
Main Details
Name
DENVER HEALTH MEDICAL CENTER
Subdivision Name
Denver Health Pavilion L / Neuro Psych
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060011BB
Medicare Provider Number
060011
Outpatient Facility Provider Number
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
Additional Details
Current Program Status
Active
Registration Date
1/13/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/8/2016
Last Recertification Date
9/1/2023
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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