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ADVENTHEALTH PHARMACY PORTER
DSH060103 AdventHealth Avista
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Covered Entity Details
Entity Name
AdventHealth Avista
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060103
Entity Address
100 Health Park Drive
Louisville, CO 80027
Medicare Provider Number
060103
Participating Start Date
1/1/2012
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
ADVENTHEALTH PHARMACY PORTER
Pharmacy Address
2525 S DOWNING ST FL 1
DENVER, CO 80210
Pharmacy Comments
Contract Details
Approval Date
4/3/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol Travis, CFO
(720) 627-1230
Contract Pharmacy Representative
CENTURA HEALTH PHARMACY SERVICES
Brian Morganfield, Pharmacy Manager
(303) 426-2360
Signed By Date
4/3/2020
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