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DSH320004AH CHRISTUS Southern New Mexico (Active)
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Main Details
Name
CHRISTUS Southern New Mexico
Subdivision Name
CHRISTUS Southern New Mexico Family Medicine Ruidoso
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320004AH
Medicare Provider Number
320004
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/28/2021
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Otero County Hospital Association
Bashar Naser, CFO
(575) 443-7848 Ext: 5754437841
Primary Contact
Otero County Hospital Associaton
Cheri Christine Moore, Financial Analyst
(575) 443-7841
Addresses
Street Address
101 5th Street
Ruidoso, NM 88345-7556
Billing Address
CHRISTUS Southern New Mexico
2669 Scenic Drive
Alamogordo, NM 88310
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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