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UNIV OF COLORADO HOSPITAL
DSH060131 UCHEALTH GREELEY HOSPITAL
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Covered Entity Details
Entity Name
UCHEALTH GREELEY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060131
Entity Address
6767 WEST 29TH ST. RD.
GREELEY, CO 80634-5474
Medicare Provider Number
060131
Participating Start Date
4/1/2023
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
UNIV OF COLORADO HOSPITAL
Pharmacy Address
ATRIUM PHARMACY
12605 E 16TH AVE
AURORA, CO 80045
Pharmacy Comments
Contract Details
Approval Date
1/15/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Charles Thompson, Chief Financial Officer
(970) 237-7011
Contract Pharmacy Representative
University of Colorado Hospital
Jon David Alford, CFO
(405) 248-8842
Signed By Date
1/15/2023
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