340B Drug Pricing Program Database
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DSH060001D Banner North Colorado Medical Center (Terminated)
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Main Details
Name
Banner North Colorado Medical Center
Subdivision Name
Banner NCMC MedCare Clinic - Anticoagulation Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060001D
Medicare Provider Number
060001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
8/25/2023
Termination Date
Termination Reason
1/1/2024
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Banner Health
Lorena Schultz, CFO
(970) 810-1573
Primary Contact
BannerHealth
Natalie Louise Yount, Director of Pharmacy
(970) 810-6901
Addresses
Street Address
1517 16th Ave. Court
Greeley, CO 80631
Billing Address
Banner North Colorado Medical Center
1801 16th Street
Greeley, CO 80631
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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