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DSH060015 ST ANTHONY HOSPITAL (Terminated)
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Main Details
Name
ST ANTHONY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060015
Medicare Provider Number
060015
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/22/2018
Last Recertification Date
8/20/2019
Termination Date
Termination Reason
1/1/2020
DSH percentage below statutory minimum
Contacts
Authorizing Official
CommonSpirit Health
Matthew P. Leary, Market VFO
(303) 643-1022
Primary Contact
Centura Health
VINNY POLITO, SYSTEM DIRECTOR AMB PHARMACY
(303) 673-1014
Addresses
Street Address
11600 W. 2ND PLACE
LAKEWOOD, CO 80228
Billing Address
Centura Health
PO Box 372660
Denver, CO 80237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 1/1/2019; Termination date 1/1/2020; Reinstated 4/1/2020.
01/14/2020
Participating start date 7/1/2017; Termination date 1/1/2018; Reinstatement date 1/1/2019.
10/22/2018
April 2025
April 2025
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