340B Drug Pricing Program Database
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DSH320021DH PRESBYTERIAN HOSPITAL (Active)
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Main Details
Name
PRESBYTERIAN HOSPITAL
Subdivision Name
Rust Medical Center - Family Birth Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320021DH
Medicare Provider Number
320021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
9/14/2016
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Presbyterian Healthcare Services
Erica Downing, VP, Pharmacy and Infusion Services & Chief Pharmacy Officer
(505) 724-8994
Primary Contact
Presbyterian Healthcare Services
Barbara Fried-Smith, 340B Program Coordinator
(505) 886-4820
Addresses
Street Address
2400 Unser Blvd SE
Rio Rancho, NM 87124
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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