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RWIID875013 NEW MEXICO DEPARTMENT OF HEALTH (Active)
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Main Details
Name
NEW MEXICO DEPARTMENT OF HEALTH
Subdivision Name
Public Health Division
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID875013
Grant Number
X07HA00084
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
6/9/2005
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2025
Contacts
Authorizing Official
NM Department of Health
Andrew Gans, Communicable Disease Bureau Chief
(505) 479-1187
Primary Contact
New Mexico Department of Health
Laine M Snow, HIV, STD, Hepatitis Section Manager
(505) 709-7618
Addresses
Street Address
5300 Homestead Road NE
Room 142
Albuquerque, NM 87110
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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06/17/09 UPDATED SHIP TO(WAS 1190 ST. FRANCIS DR. (RM. S 1204), SANTA FE, NM 87501); 6/8/06 UPDATED ADDR (WAS ROOM: L 1011); 3/22/06 UPDATED MEDICAID # (WAS RW875013)
07/15/2010
April 2025
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