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RWII802201 Colorado Health Network, Inc. (Active)
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Main Details
Name
Colorado Health Network, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII802201
Grant Number
X07HA00056
Additional Details
Current Program Status
Active
Registration Date
4/9/2020
Participating Start Date
7/1/2020
Participating Approval Date
6/2/2020
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
4/1/2020 - 3/31/2025
Contacts
Authorizing Official
Colorado Health Network, Inc.
Darrell J Vigil, Chief Executive Officer
(303) 837-0166
Primary Contact
Colorado Health Network, Inc.
Lili Carrillo, Clinical Services Officer
(303) 945-2381
Addresses
Street Address
6260 E. Colfax Ave.
Denver, CO 80220
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (07/01/2018) until terminated effective date: (04/01/2020), reinstatement effective date: (07/01/2020)
05/13/2020
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