340B Drug Pricing Program Database
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DSH320001CX UNIVERSITY OF NEW MEXICO HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF NEW MEXICO HOSPITAL
Subdivision Name
UNM Family Health Uptown - Women's Care Eubank
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320001CX
Medicare Provider Number
320001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/23/2018
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
2130 Eubank Blvd NE
Albuquerque, NM 87112
Billing Address
University of New Mexico Hospital
PO Box 80600
Albuquerque, NM 87198
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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