Covered Entity Details

DSH340141AQ Novant Health New Hanover Regional Medical Center (Active) - information as of 4/25/2025 5:39:35 PM

Main Details

Name

Novant Health New Hanover Regional Medical Center

Subdivision Name

NH Ortho Hospital Lab - Clinical Lab

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH340141AQ

Medicare Provider Number

340141

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

7/11/2024

Participating Start Date

10/1/2024

Participating Approval Date

8/25/2024

Last Recertification Date

Contacts

Authorizing Official

New Hanover Regional Medical Center
Laurie Whalin, VP of Clinical Support Services
(910) 667-7731

Primary Contact

Novant Health, Inc
Elizabeth Anne Corazzo, Pharmacy Manager 340B
(336) 277-0301

Addresses

Street Address

5301 Wrightsville Ave
Wilmington, NC 28403

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
SC	128171,153836
NC		1548216880,1366585200,1093107864,1376139139

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH340141AA	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Anesthesia	5301 WRIGHTSVILLE AVE	WILMINGTON	NC	Active
DSH340141AB	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Radiology-Diagnostic	5301 WRIGHTSVILLE AVE	WILMINGTON	NC	Active
DSH340141AC	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Radiology-Ultrasound	5301 WRIGHTSVILLE AVE	Wilmington	NC	Active
DSH340141AD	Child	DSH	NEW HANOVER REGIONAL MEDICAL CENTER	Orthopedic Hospital / CF Radiology-Special Procedures	5301 WRIGHTSVILLE AVE	Wilmington	NC	Terminated
DSH340141AE	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Radiology-CT Scanner	5301 WRIGHTSVILLE AVE	Wilmington	NC	Active
DSH340141AF	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Radiology-MRI	5301 WRIGHTSVILLE AVE	Wilmington	NC	Active
DSH340141AG	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Cardiopulmonary Services	5301 WRIGHTSVILLE AVE	Wilmington	NC	Active
DSH340141AH	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Emergency Department	5301 WRIGHTSVILLE AVE	Wilmington	NC	Active
DSH340141AJ	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Orthopedics	5301 WRIGHTSVILLE AVE	WILMINGTON	NC	Active
DSH340141AK	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH WOUND CARE - NEW HANOVER	2259 S. 17th Street	Wilmington	NC	ToBeTerminated
DSH340141AL	Child	DSH	Novant Health New Hanover Regional Medical Center	Outpatient Infusion Services	1415 Medical Center Drive	Wilmington	NC	Active
DSH340141AM	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH CANCER INSTITUE - BRUNSWICK FOREST (ONCOLOGY/HEMATOLOGY)	1333 S. Dickinson Dr.	Leland	NC	Active
DSH340141AN	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital - CF Radiology-Nuclear Med	5301 WRIGHTSVILLE AVE	WILMINGTON	NC	Active
DSH340141AP	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH CANCER INSTITUTE - Radiation Oncology	545 OCEAN HWY W	SUPPLY	NC	Active
DSH340141AQ	Child	DSH	Novant Health New Hanover Regional Medical Center	NH Ortho Hospital Lab - Clinical Lab	5301 Wrightsville Ave	Wilmington	NC	Active
DSH340141AR	Child	DSH	Novant Health New Hanover Regional Medical Center	NH Infusion - BMC - Infusion	257 Hospital Dr	Bolivia	NC	Active
DSH340141AS	Child	DSH	Novant Health New Hanover Regional Medical Center	NH Infusion - Pender - Infusion	507 E Fremont St	Burgaw	NC	Active
DSH340141B	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital	5301 WRIGHTSVILLE AVE	WILMINGTON	NC	Terminated
DSH340141C	Child	DSH	Novant Health New Hanover Regional Medical Center	Heart Center - Outpatient Services	1415 Physicians Dr.	Wilmington	NC	Active
DSH340141D	Child	DSH	NEW HANOVER REGIONAL MEDICAL CENTER	CFH - COASTAL CARDIOLOGY	1415 Physicians Dr	Wilmington	NC	Terminated
DSH340141E	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH FAMILY MEDICINE WILMINGTON	2523 Delaney Avenue	Wilmington	NC	Active
DSH340141F	Child	DSH	Novant Health New Hanover Regional Medical Center	Health & Diagnostics, Brunswick Forest	1333 South Dickinson Drive	Leland	NC	Active
DSH340141G	Child	DSH	Novant Health New Hanover Regional Medical Center	Health & Diagnostics, Military Cutoff	1135 Military Cutoff Rd	Wilmington	NC	Active
DSH340141H	Child	DSH	NEW HANOVER REGIONAL MEDICAL CENTER	NHRMC H&D Doctors Circle	1515 Doctors Circle	Wilmington	NC	Terminated
DSH340141J	Child	DSH	Novant Health New Hanover Regional Medical Center	Health & Diagnostics - North	151 Scotts Hill Medical Drive	Wilmington	NC	Active
DSH340141K	Child	DSH	Novant Health New Hanover Regional Medical Center	Atlantic SurgiCenter	9104 Market St.	Wilmington	NC	Active
DSH340141L	Child	DSH	Novant Health New Hanover Regional Medical Center	Health & Diagnostics- MEDICAL MALL	2243 S 17TH ST	WILMINGTON	NC	Active
DSH340141M	Child	DSH	Novant Health New Hanover Regional Medical Center	Heart Center - OP Services, Cardiac Rehab	1415 PHYSICIANS DR	WILMINGTON	NC	Active
DSH340141N	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH COASTAL OB/GYN - SHIPYARD	2150 SHIPYARD BLVD	WILMINGTON	NC	Active
DSH340141P	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH INTERNAL MEDICINE WILMINGTON	1725 NEW HANOVER MEDICAL PARK DR	WILMINGTON	NC	Active
DSH340141Q	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTHINFECTIOUS DISEASE SPECIALISTS - WILMINGTON (HIV CARE)	1725 NEW HANOVER MEDICAL PARK DR	WILMINGTON	NC	Active
DSH340141R	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH MAXILLOFACIAL SURGERY - WILMINGTON	1725 NEW HANOVER MEDICAL PARK DR	WILMINGTON	NC	Active
DSH340141S	Child	DSH	Novant Health New Hanover Regional Medical Center	NOVANT HEALTH GENERAL SURGERY - NEW HANOVER (GENERAL & CANCER)	1725 NEW HANOVER MEDICAL PARK DR	WILMINGTON	NC	Terminated
DSH340141T	Child	DSH	Novant Health New Hanover Regional Medical Center	Emergency Department NORTH	151 SCOTTS HILL MEDICAL DR	WILMINGTON	NC	Active
DSH340141U	Child	DSH	Novant Health New Hanover Regional Medical Center	Radiation Oncology	1988 S 16th Street	Wilmington	NC	Active
DSH340141V	Child	DSH	Novant Health New Hanover Regional Medical Center	Nunnelee Pediatric Specialty Clinics - Autumn Hall	510 Carolina Bay Drive	Wilmington	NC	Active
DSH340141W	Child	DSH	Novant Health New Hanover Regional Medical Center	Heart Center - OP Services, Pulmonary Rehab	1415 PHYSICIANS DR	WILMINGTON	NC	Active
DSH340141X	Child	DSH	Novant Health New Hanover Regional Medical Center	SNC Blood Management Clinic	2243 S. 17th Street	Wilmington	NC	Active
DSH340141Y	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Surgery/OR	5301 WRIGHTSVILLE AVE	WILMINGTON	NC	Active
DSH340141Z	Child	DSH	Novant Health New Hanover Regional Medical Center	Orthopedic Hospital / CF Post Anesthesia Care Unit	5301 WRIGHTSVILLE AVE	WILMINGTON	NC	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		Approved	Active	10/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		Whalin, Laurie VP of Clinical Support Services New Hanover Regional Medical Center 9106677731	8/25/2024 1:56 PM
Details	340B ID	Update	New Registration		DSH340141AQ	8/25/2024 1:56 PM
Details	Entity Name	Update	New Registration	NEW HANOVER REGIONAL MEDICAL CENTER	Novant Health New Hanover Regional Medical Center	8/25/2024 1:56 PM
Details	Entity Subname	Update	New Registration	NH Ortho Hospital Lab	NH Ortho Hospital Lab - Clinical Lab	8/25/2024 1:56 PM
Dates	Participating Approval Date	Update	New Registration		8/25/2024 1:56:00 PM	8/25/2024 1:56 PM
Details	State	Update	New Registration	Pending	Approved	8/25/2024 1:56 PM
Dates	Signed By Date	Update	New Registration		7/15/2024 1:37:23 PM	8/25/2024 1:56 PM
Dates	Start Date	Update	New Registration		10/1/2024 12:00:00 AM	8/25/2024 1:56 PM
Addresses	Main Address	Insert	New Registration		5301 Wrightsville Ave Wilmington, NC 28403	7/11/2024 2:13 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2024 2:13 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		128171	7/11/2024 2:13 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		SC	7/11/2024 2:13 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2024 2:13 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		153836	7/11/2024 2:13 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		SC	7/11/2024 2:13 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1548216880	7/11/2024 2:13 PM
Medicaid Billing	NPI: State	Insert	New Registration		NC	7/11/2024 2:13 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1366585200	7/11/2024 2:13 PM
Medicaid Billing	NPI: State	Insert	New Registration		NC	7/11/2024 2:13 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1093107864	7/11/2024 2:13 PM
Medicaid Billing	NPI: State	Insert	New Registration		NC	7/11/2024 2:13 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1376139139	7/11/2024 2:13 PM
Medicaid Billing	NPI: State	Insert	New Registration		NC	7/11/2024 2:13 PM
Contacts	Authorizing Official	Insert	New Registration		Whalin, Laurie VP of Clinical Support Services New Hanover Regional Medical Center 9106677731	7/11/2024 2:13 PM
Contacts	Primary Contact	Insert	New Registration		Corazzo, Elizabeth Anne Pharmacy Manager 340B Novant Health, Inc 3362770301	7/11/2024 2:13 PM
Details	Assistance Received From Date	Insert	New Registration			7/11/2024 2:13 PM
Details	Assistance Received To Date	Insert	New Registration			7/11/2024 2:13 PM
Details	Last Recertification Date	Insert	New Registration			7/11/2024 2:13 PM
Details	Grant Number	Insert	New Registration			7/11/2024 2:13 PM
Details	340B ID	Insert	New Registration			7/11/2024 2:13 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/11/2024 2:13 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/11/2024 2:13 PM
Details	Medicare Provider Number	Insert	New Registration		340141	7/11/2024 2:13 PM
Details	Entity Name	Insert	New Registration		NEW HANOVER REGIONAL MEDICAL CENTER	7/11/2024 2:13 PM
Details	NOFO Number	Insert	New Registration			7/11/2024 2:13 PM
Details	Program Code	Insert	New Registration		DSH	7/11/2024 2:13 PM
Details	Entity Subname	Insert	New Registration		NH Ortho Hospital Lab	7/11/2024 2:13 PM
Dates	Participating Approval Date	Insert	New Registration			7/11/2024 2:13 PM
Details	State	Insert	New Registration		Pending	7/11/2024 2:13 PM
Dates	Registration Date	Insert	New Registration		7/11/2024 2:13:20 PM	7/11/2024 2:13 PM
Dates	Signed By Date	Insert	New Registration			7/11/2024 2:13 PM
Dates	Start Date	Insert	New Registration			7/11/2024 2:13 PM
Terminations	Termination Comments	Insert	New Registration			7/11/2024 2:13 PM
Terminations	Termination Date	Insert	New Registration			7/11/2024 2:13 PM
Terminations	Termination Effective Date	Insert	New Registration			7/11/2024 2:13 PM
Terminations	Termination Reason	Insert	New Registration			7/11/2024 2:13 PM