340B Drug Pricing Program Database
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DSH060020E PARKVIEW MEDICAL CENTER (Active)
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Main Details
Name
PARKVIEW MEDICAL CENTER
Subdivision Name
UC HEALTH/PARKVIEW MEDICAL CENTER - RADIATION ONCOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH060020E
Medicare Provider Number
060020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/5/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/22/2024
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Parkview Medical Center
Jon E. Riggs, Chief Financial Officer
(719) 584-4788
Primary Contact
Parkview Medical Center
Joan Patricia Barickman, Pharmacy Administrative Coordinator
(719) 584-4914
Addresses
Street Address
525 W. 15th Street
Pueblo, CO 81003
Billing Address
UCHealth Parkview Medical Center
400 W. 16th Street
Pueblo, CO 81003
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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