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DSH320001M UNIVERSITY OF NEW MEXICO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF NEW MEXICO HOSPITAL
Subdivision Name
UNM HOSPITAL FAMILY HEALTH WESTSIDE CLINIC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320001M
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
8/28/2024
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
4808 MCMAHON BLVD NW
ALBUQUERQUE, NM 87114
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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April 2025
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