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DSH450024N UNIVERSITY MEDICAL CENTER OF EL PASO (Approved)
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Main Details
Name
UNIVERSITY MEDICAL CENTER OF EL PASO
Subdivision Name
EL PASO COUNTY HOSPITAL DISTRICT - UMC Surgical Center West
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450024N
Medicare Provider Number
450024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/2/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/7/2025
Last Recertification Date
Contacts
Authorizing Official
University Medical Center of El Paso
MICHAEL NUNEZ, CFO
(915) 521-7626
Primary Contact
UNIVERSITY MEDICAL CENTER OF EL PASO
DAVID CHAN, Asst Administrator Pharmacy Services
(915) 521-7662
Addresses
Street Address
4642 N MESA STREET
EL PASO, TX 79912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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