340B Drug Pricing Program Database
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CAH321301-00 SOCORRO GENERAL HOSPITAL (Active)
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Main Details
Name
SOCORRO GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH321301-00
Medicare Provider Number
321301
Additional Details
Current Program Status
Active
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/28/2016
Last Recertification Date
9/4/2024
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
1202 HIGHWAY 60 WEST
SOCORRO, NM 87801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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