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DSH060003 CENTURA LONGMONT UNITED HOSPITAL (Active)
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Main Details
Name
CENTURA LONGMONT UNITED HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060003
Medicare Provider Number
060003
Additional Details
Current Program Status
Active
Registration Date
4/4/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/7/2017
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
CommonSpirit Health
Carol Travis, CFO and VP of Finance
(720) 627-1230
Primary Contact
CommonSpirit Health
Samantha Morgan, System Manager, 340B Mountain Region
(303) 673-7380
Addresses
Street Address
1950 WEST MOUNTAIN VIEW AVENUE
LONGMONT, CO 80501-3129
Billing Address
Centura Health
PO Box 372660
Denver, CO 80237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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