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DSH320001A UNIVERSITY OF NEW MEXICO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF NEW MEXICO HOSPITAL
Subdivision Name
UNMH Family Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320001A
Medicare Provider Number
320001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/8/2008
Participating Start Date
9/1/1993
Participating Approval Date
7/8/2008
Last Recertification Date
9/4/2024
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
1209 University Blvd., NE
ALBUQUERQUE, NM 87102
Billing Address
University of New Mexico Hospital
PO Box 80600
Albuquerque, NM 87198-0600
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/8/12 update address from 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 , add sub entity name, remove medicaid info
07/08/2008
April 2025
April 2025
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