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DSH060126 Banner Fort Collins Medical Center (Active)
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Main Details
Name
Banner Fort Collins Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060126
Medicare Provider Number
060126
Additional Details
Current Program Status
Active
Registration Date
7/12/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/12/2016
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Banner Health
Patricia Gibson, Western Division Senior Finance Director
(970) 810-6140
Primary Contact
Banner Health
Richard Einhellig, Associate Director, Pharmacy NE
(970) 821-4207
Addresses
Street Address
4700 Lady Moon Drive
Fort Collins, CO 80528
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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