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DSH320021AW PRESBYTERIAN HOSPITAL (Terminated)
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Main Details
Name
PRESBYTERIAN HOSPITAL
Subdivision Name
Rust PMG Pulmonary
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320021AW
Medicare Provider Number
320021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
Last Recertification Date
11/9/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Presbyterian Healthcare Services
David Scott Graham, VP-PDS Clinical Support Srvc
(505) 841-1872
Primary Contact
Presbyterian Healthcare Services
Lauris Knight, 340B Program Coordinator
(505) 724-8028
Addresses
Street Address
2400 Unser Blvd SE
Suite 18300
Rio Rancho, NM 87124
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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