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SCH060044-00 Centura St. Elizabeth Hospital (ToBeTerminated)
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Main Details
Name
Centura St. Elizabeth Hospital
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH060044-00
Medicare Provider Number
060044
Additional Details
Current Program Status
ToBeTerminated
Registration Date
1/10/2023
Participating Start Date
4/1/2023
Participating Approval Date
3/9/2023
Last Recertification Date
8/28/2024
Termination Date
Termination Reason
7/1/2025
Change of covered entity type
Contacts
Authorizing Official
CommonSpirit Health
John Swanhorst, Hospital President and CNO
(970) 542-3339
Primary Contact
CommonSpirit Health
Samantha Morgan, System Manager, 340B Mountain Region
(303) 673-7380
Addresses
Street Address
1000 Lincoln Street
Fort Morgan, CO 80701
Billing Address
CommonSpirit Health
PO Box 372660
Denver, CO 80237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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