340B Drug Pricing Program Database
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DSH320021FN PRESBYTERIAN HOSPITAL (Approved)
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Main Details
Name
PRESBYTERIAN HOSPITAL
Subdivision Name
PRESBYTERIAN RUST CT SCAN - CT SCAN
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320021FN
Medicare Provider Number
320021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/30/2025
Last Recertification Date
Contacts
Authorizing Official
Presbyterian Healthcare Services
Erica Downing, VP, Pharmacy and Infusion Services & Chief Pharmacy Officer
(505) 724-8994
Primary Contact
Presbyterian Healthcare Services
Barbara Fried-Smith, 340B Program Coordinator
(505) 886-4820
Addresses
Street Address
2400 Unser SE
Rio Rancho, NM 87124-4740
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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