340B Drug Pricing Program Database
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DSH320021ES PRESBYTERIAN HOSPITAL (Active)
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Main Details
Name
PRESBYTERIAN HOSPITAL
Subdivision Name
Las Estancias Pediatric Urgent Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320021ES
Medicare Provider Number
320021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/21/2020
Last Recertification Date
9/6/2024
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
3630 Las Estancias Dr SW
ALBUQUERQUE, NM 87121
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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