340B Drug Pricing Program Database
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DSH060011DZ DENVER HEALTH MEDICAL CENTER (Active)
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Main Details
Name
DENVER HEALTH MEDICAL CENTER
Subdivision Name
Women's Mobile Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060011DZ
Medicare Provider Number
060011
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/17/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/15/2016
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
777 Bannock Street
Denver, CO 80204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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