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DSH320021AA PRESBYTERIAN HOSPITAL (Terminated)
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Main Details
Name
PRESBYTERIAN HOSPITAL
Subdivision Name
PMG KASEMAN GASTROENTEROLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320021AA
Medicare Provider Number
320021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/4/2008
Participating Start Date
9/4/2008
Participating Approval Date
9/4/2008
Last Recertification Date
8/21/2019
Termination Date
Termination Reason
7/1/2020
Site closure
Contacts
Authorizing Official
Presbyterian Healthcare Services
David Scott Graham, VP-PDS Clinical Support Srvc
(505) 841-1872
Primary Contact
Presbyterian Healthcare Services
Kelly Green, 340B Program Manager
(505) 724-7761
Addresses
Street Address
8300 CONSTITUTION NE, BLDG D
2ND FLOOR
ALBUQUERQUE, NM 87100
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/20/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
April 2025
April 2025
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