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DSH060131 UCHEALTH GREELEY HOSPITAL (Active)
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Main Details
Name
UCHEALTH GREELEY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060131
Medicare Provider Number
060131
Additional Details
Current Program Status
Active
Registration Date
1/6/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/9/2023
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Poudre Valley Health Care, Inc.
David Charles Thompson, Chief Financial Officer
(970) 237-7011
Primary Contact
Poudre Valley Health Care, Inc.
Andrew Harmon, Director of Pharmacy
(970) 495-8054
Addresses
Street Address
6767 WEST 29TH ST. RD.
GREELEY, CO 80634-5474
Billing Address
UCHealth
2315 E. Harmony Road
200
Fort Collins, CO 80528
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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