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SCL HEALTH PHARMACY SERVICES-LUTHERAN PH
DSH060009 Intermountain Health Lutheran Hospital
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Covered Entity Details
Entity Name
Intermountain Health Lutheran Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060009
Entity Address
12911 W 40th Ave
WHEAT RIDGE, CO 80401
Medicare Provider Number
060009
Participating Start Date
4/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
SCL HEALTH PHARMACY SERVICES-LUTHERAN PH
Pharmacy Address
SCL HEALTH
8300 W 38TH AVE
SUITE T2-105
WHEAT RIDGE, CO 80033
Pharmacy Comments
Contract Details
Approval Date
7/12/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/3/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
James M. Doyle, VP of Finance
(303) 425-2410
Contract Pharmacy Representative
SCL Health
Rhiannon Longmore, Pharmacy Business Operations Manager
(303) 272-0922
Signed By Date
7/12/2017
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