340B Drug Pricing Program Database
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DSH060054B COMMUNITY HOSPITAL (Active)
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Main Details
Name
COMMUNITY HOSPITAL
Subdivision Name
GRAND VALLEY ONCOLOGY - Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060054B
Medicare Provider Number
060054
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2021
Participating Start Date
4/1/2021
Participating Approval Date
2/2/2021
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Community Hospital
Christian A. Thomas, CEO
(970) 644-3011
Primary Contact
Colorado West Healthcare System
Cynthia M Houchin, Coordinator
(970) 644-3552
Addresses
Street Address
688 23 1/2 Road
Grand Junction, CO 81505
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2019, terminated 10/1/2020. Reinstated 4/1/2021.
02/02/2021
May 2025
May 2025
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