340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH060064A Centura Porter Adventist Hospital (Terminated)
Print
Main Details
Name
Centura Porter Adventist Hospital
Subdivision Name
Wound Care Clinic - Wound Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060064A
Medicare Provider Number
060064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/28/2022
Last Recertification Date
8/25/2022
Termination Date
Termination Reason
7/1/2023
Change of covered entity type
Contacts
Authorizing Official
Centura Health
Andrew Whitlock, CFO
(303) 673-1256
Primary Contact
CommonSpirit Health
Samantha Morgan, System Manager, 340B Mountain Region
(303) 673-7380
Addresses
Street Address
990 E Harvard Ave
Denver, CO 80210
Billing Address
Centura Health
PO Box 372660
Denver, CO 80237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session