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DSH060024AZ UNIVERSITY OF COLORADO HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
Free Standing Emergency Departments - Littletn ED
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024AZ
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/17/2019
Last Recertification Date
8/28/2019
Termination Date
Termination Reason
10/1/2020
Site closure
Contacts
Authorizing Official
UCHealth Memorial Hospital and Pikes Peak Regional Hospital
Barbara Ann Carveth, Chief Financial Officer
(720) 848-7773
Primary Contact
University of Colorado Hospital
Nancy Stolpman, Pharmacy Director
(720) 848-6976
Addresses
Street Address
13351 West Bowles Ave.
Littleton, CO 80127
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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