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CENTURA HEALTH PHARMACY SERVICES
DSH060003 CENTURA LONGMONT UNITED HOSPITAL
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Covered Entity Details
Entity Name
CENTURA LONGMONT UNITED HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060003
Entity Address
1950 WEST MOUNTAIN VIEW AVENUE
LONGMONT, CO 80501-3129
Medicare Provider Number
060003
Participating Start Date
7/1/2017
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
CENTURA HEALTH PHARMACY SERVICES
Pharmacy Address
2551 W. 84TH AVE
WESTMINSTER, CO 80031
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chad E Hatfield, Chief Executive Officer
(303) 651-5025
Contract Pharmacy Representative
CENTURA HEALTH PHARMACY SERVICES
Brian Morganfield, Pharmacy Manager
(303) 426-2360
Signed By Date
4/17/2023
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