340B Drug Pricing Program Database
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DSH060028H SAINT JOSEPH HOSPITAL (Terminated)
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Main Details
Name
SAINT JOSEPH HOSPITAL
Subdivision Name
Cardiac Rehabilitation
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060028H
Medicare Provider Number
060028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/5/2016
Last Recertification Date
8/23/2023
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Platte Valley Medical Center
Troy Stoehr, VP of Finance
(303) 498-1606
Primary Contact
Intermountain Healthcare
Charles B. Stubbs, 340B Pharmacist
(801) 284-1113
Addresses
Street Address
1960 Ogden St.
Suite 030
Denver, CO 80218
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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