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DSH060024BB UNIVERSITY OF COLORADO HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
UCHEALTH INTEGRATED MEDICINE CENTER - Integrated medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060024BB
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
3/10/2020
Last Recertification Date
8/31/2023
Termination Date
Termination Reason
1/1/2024
Site closure
Contacts
Authorizing Official
University of Colorado Hospital
Jon David Alford, CFO
(405) 248-8842
Primary Contact
University of Colorado Hospital
Adam Matthew Poust, Manager, Pharmacy Hospital Operations
(720) 848-3243
Addresses
Street Address
3055 ROSLYN ST
UNIT 250
DENVER, CO 80238-2778
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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