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DSH060028F Saint Joseph Hospital, Inc. DBA Intermountain Health Saint Joseph Hospital (Active)
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Main Details
Name
Saint Joseph Hospital, Inc. DBA Intermountain Health Saint Joseph Hospital
Subdivision Name
Saint Joseph Hospital Cancer Centers of Colorado - Medical Oncology Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060028F
Medicare Provider Number
060028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/11/2016
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
SCL Health Lutheran Medical Center
Ashley Denton, VP Finance
(303) 425-2410
Primary Contact
Intermountain Health
Ben Landry, 340B Pharmacist
(207) 200-5264
Addresses
Street Address
1825 MARION ST - 3rd Floor
DENVER, CO 80218-1122
Billing Address
SAINT JOSEPH HOSPITAL
Attn: Accounts Payable
P.O. Box 1010
Lafayette, CO 80026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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