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DSH320001AF UNIVERSITY OF NEW MEXICO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF NEW MEXICO HOSPITAL
Subdivision Name
UNMH SOUTHWEST MESA CENTER FOR FAMILY AND COMMUNITY HEALTH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320001AF
Medicare Provider Number
320001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/16/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/16/2011
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
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
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 ADD BILLING ADDRESS AND REMOVE MEDICAID NUMBER
06/16/2011
April 2025
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