340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH060010D POUDRE VALLEY HOSPITAL (Active)
Print
Main Details
Name
POUDRE VALLEY HOSPITAL
Subdivision Name
Heart Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060010D
Medicare Provider Number
060010
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/9/2022
Participating Start Date
4/1/2022
Participating Approval Date
3/10/2022
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Poudre Valley Health Care, Inc.
David Charles Thompson, Chief Financial Officer
(970) 237-7011
Primary Contact
Poudre Valley Health Care, Inc.
Andrew Harmon, Director of Pharmacy
(970) 495-8054
Addresses
Street Address
2121 E Harmony Road
Suite 200
Fort Collins, CO 80528-3401
Billing Address
Poudre Valley Health Care Inc
2315 E Harmony Road
200
Fort Collins, CO 80528-8620
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participated starting on 7/1/2017; Terminated on 1/1/2018; Reinstated on 4/1/2022.
03/10/2022
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session