340B Drug Pricing Program Database
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DSH320090 SANTA FE MEDICAL CENTER (Active)
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Main Details
Name
SANTA FE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH320090
Medicare Provider Number
320090
Additional Details
Current Program Status
Active
Registration Date
7/1/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/23/2020
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
4801 BECKNER ROAD
SANTA FE, NM 87507
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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