340B Drug Pricing Program Database
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DSH320022 PLAINS REGIONAL MEDICAL CENTER - CLOVIS (Active)
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Main Details
Name
PLAINS REGIONAL MEDICAL CENTER - CLOVIS
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320022
Medicare Provider Number
320022
Additional Details
Current Program Status
Active
Registration Date
4/25/2008
Participating Start Date
4/1/2005
Participating Approval Date
4/25/2008
Last Recertification Date
9/6/2024
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
2100 NORTH DR MARTIN LUTHER KING JR BLVD
CLOVIS, NM 88101
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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