340B Drug Pricing Program Database
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DSH060001E Banner North Colorado Medical Center (Active)
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Main Details
Name
Banner North Colorado Medical Center
Subdivision Name
North Colorado Medical Center - Banner MD Anderson Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060001E
Medicare Provider Number
060001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/25/2023
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Banner Health
Patricia Gibson, Western Division Senior Finance Director
(970) 810-6140
Primary Contact
BannerHealth
Natalie Louise Yount, Director of Pharmacy
(970) 810-6901
Addresses
Street Address
2000 Boise Ave
A
Loveland, CO 80538
Billing Address
BANNER HEALTH ACCOUNTS PAYABLE
PO BOX 2977
PHOENIX, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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