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DSH320001C UNIVERSITY OF NEW MEXICO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF NEW MEXICO HOSPITAL
Subdivision Name
UNM HOSPITAL ADULT INFUSION CENTER AT CRTC II
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320001C
Medicare Provider Number
320001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
12/16/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/21/2009
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
1201 CAMINO DE SALUD NE
Fourth Floor
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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5/11/10 SUB DIV/PHYST ADDR CHANGE (WAS UNM HOSPITAL ADULT INFUSION SUITE @ SUITE 4420)
12/16/2009
April 2025
April 2025
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