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DSH060024BF UNIVERSITY OF COLORADO HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
UCHEALTH OUTPATIENT PSYCH CLINIC - Psychiatry Community
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024BF
Medicare Provider Number
060024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/3/2020
Last Recertification Date
8/27/2021
Termination Date
Termination Reason
4/1/2022
Other
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
13001 E 17TH PL
FL 2
AURORA, CO 80045-2570
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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