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DSH060006A Montrose Memorial Hospital dba Montrose Regional Health (ToBeTerminated)
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Main Details
Name
Montrose Memorial Hospital dba Montrose Regional Health
Subdivision Name
San Juan Cancer Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060006A
Medicare Provider Number
060006
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/7/2017
Last Recertification Date
8/19/2024
Termination Date
Termination Reason
7/1/2025
Change of covered entity type
Contacts
Authorizing Official
Montrose Memorial Hospital
Paul Richard Perrotti, CFO
(970) 252-2659
Primary Contact
Montrose Memorial Hospital
Jodi Wilkins, 340B Oversight
(970) 240-2635
Addresses
Street Address
600 S 5th Street
Montrose, CO 81401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2017, terminated 10/1/2017. Reinstated 1/1/2018.
11/03/2017
June 2025
June 2025
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