340B Drug Pricing Program Database
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DSH320021DQ PRESBYTERIAN HOSPITAL (Terminated)
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Main Details
Name
PRESBYTERIAN HOSPITAL
Subdivision Name
PMG 528 / Pediatrics
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320021DQ
Medicare Provider Number
320021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/21/2016
Last Recertification Date
9/8/2023
Termination Date
Termination Reason
10/1/2024
Site closure
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
3777 NM HIGHWAY 528 NE
RIO RANCHO, NM 87144-7650
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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