340B Drug Pricing Program Database
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DSH320001FK UNIVERSITY OF NEW MEXICO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF NEW MEXICO HOSPITAL
Subdivision Name
M & I - Ttl X Fmly Pl - Maternal and Family Planning
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320001FK
Medicare Provider Number
320001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/5/2025
Last Recertification Date
Contacts
Authorizing Official
UNM Hospitals
Bonnie White, Chief Financial Officer
(505) 272-1840
Primary Contact
University of New Mexico Hospital
Lorena Vigil, Ambulatory Business Operations Mgr - 340B Program
(505) 272-2134
Addresses
Street Address
6900 Gonzalez Rd SW, Suite H
Albuquerque, NM 87121
Billing Address
UNM Hospital
PO Box 80600
Albuquerque, NM 87198
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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