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DSH320001S UNIVERSITY OF NEW MEXICO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF NEW MEXICO HOSPITAL
Subdivision Name
UNM HOSPITAL SOUTH EAST HEIGHTS CENTER FOR FAMILY & COMMUNITY HEALTH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320001S
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
9/3/2024
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
8200 CENTRAL AVENUE SE
ALBUQUERQUE, NM 87108
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 SOUTHEAST HEIGHTS CLINIC @ 8200 CENTRAL NE)
05/11/2010
3/8/12 ADD BILLING ADDRESS REMOVE MEDICAID 5/11/10 SUB DIV/PHYST ADDR CHANGE (WAS UNM HOSPITAL SOUTHEAST HEIGHTS CLINIC @ 8200 CENTRAL NE)
12/16/2009
April 2025
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