340B Drug Pricing Program Database


DSH340040AH PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER (Active) - information as of 5/25/2025 1:22:26 AM

Main Details
PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER
ECU Health Infusion - Kinston - Kinston Infusion Clinic
Disproportionate Share Hospital
No
DSH340040AH
340040


Additional Details
Active
1/14/2025
4/1/2025
1/29/2025

Contacts

ECU Health Medical Center
Jay Briley, President
(252) 847-5014

ECU Health
Natascha Aldrich, Pharmacy 340B Compliance Manager
(252) 847-3728

Addresses

313 Airport Rd, Suite A
Kinston, NC 28504

ECU Health Accounts Payable
PO Box 6028
Greenville, NC 27835-6028


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
NC1043218944,1285198283,1598272379,1780359687,12954581311043218944,1285198283,1598272379,1780359687,1295458131
AR 1043218944,1780359687
CA 1043218944,1780359687
CO 1043218944,1780359687
CT 1043218944,1780359687
DC 1043218944,1780359687
FL 1043218944,1780359687
GA 1043218944,1780359687
KY 1043218944,1780359687
MA 1043218944,1780359687
MD 1043218944,1780359687
MI 1043218944,1780359687
MO 1043218944,1780359687
MT 1043218944,1780359687
NJ 1043218944,1780359687
NV 1043218944,1780359687
NY 1043218944,1780359687
OH 1043218944,1780359687
PA 1043218944,1780359687
SC 1043218944,1780359687
TN 1043218944,1780359687
VA 1043218944,1780359687
WV 1043218944,1780359687
AL 1043218944,1780359687
IL 1043218944,1780359687
IN 1043218944,1780359687
LA 1043218944,1780359687
TX 1043218944,1780359687
DE 1043218944,1780359687
VT 1043218944,1780359687
NH 1043218944,1780359687
WA 1043218944,1780359687
AZ 1043218944,1780359687
ME 1043218944,1780359687
NM 1043218944,1780359687
NE 1043218944,1780359687
OK 1043218944,1780359687
UT 1043218944,1780359687
WI 1043218944,1780359687
MN 1043218944,1780359687
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH340040AChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERPain Management Anesthesiology Section2010 W. Arlington Blvd.GreenvilleNCActive
DSH340040AAChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Pulmonary Rehab628 E 12TH STWashingtonNCActive
DSH340040ABChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Respiratory Care628 E 12TH STWashingtonNCActive
DSH340040ACChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Sleep Center628 E 12TH STWashingtonNCActive
DSH340040ADChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Post Anesthesia Care Unit628 E 12TH STWashingtonNCActive
DSH340040AEChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Labor and Delivery628 E 12TH STWashingtonNCActive
DSH340040AFChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Laboratory628 E 12TH STWashingtonNCActive
DSH340040AGChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Medical Center - Gastroenterology (Testing) - GI Motility and Pulmonary Function Testing2264 Stantonsburg RoadGreenvilleNCActive
DSH340040AHChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Infusion - Kinston - Kinston Infusion Clinic313 Airport Rd, Suite AKinstonNCActive
DSH340040BChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERRehab-General Outpatient Outreach2610 Stantonsburg Road, Suite AGreenvilleNCActive
DSH340040CChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERMed Direct2380 Arlington Blvd.GreenvilleNCTerminated
DSH340040DChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Wound Healing Center - Greenville - Wound Care3900 East 10th StGreenvilleNCActive
DSH340040EChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Ultrasound628 E 12TH STWashingtonNCActive
DSH340040FChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Vascular/Intervention628 E 12TH STWashingtonNCActive
DSH340040GChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-CT Scanning628 E 12TH STWashingtonNCActive
DSH340040HChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-MRI628 E 12TH STWashingtonNCActive
DSH340040JChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Speech Language Pathology628 E 12TH STWashingtonNCActive
DSH340040KChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU HEALTH PATIENT TESTING CENTER - Patient Testing-ECUH Medical Center626 MEDICAL DRGREENVILLENCActive
DSH340040LChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Sleep Center - Sleep Center-ECUH Medical Center650 Medical DriveGreenvilleNCActive
DSH340040MChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Operating Room628 E 12TH STWashingtonNCActive
DSH340040NChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Nuclear Medicine628 E 12TH STWashingtonNCActive
DSH340040PChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Physical Therapy628 E 12TH STWashingtonNCActive
DSH340040QChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Occupational Therapy628 E 12TH STWashingtonNCActive
DSH340040RChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Echocardiology628 E 12TH STWashingtonNCActive
DSH340040SChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERdba ECU Health Beaufort Hospital - Anesthesiology-ECUH Beaufort Campus628 E 12TH STWashingtonNCActive
DSH340040TChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - EKG628 E 12TH STWashingtonNCActive
DSH340040UChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Operating Room (BFT)628 E 12TH STWashingtonNCActive
DSH340040VChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - CVP Rehab628 E 12TH STWashingtonNCActive
DSH340040WChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiation Oncology628 E 12TH STWashingtonNCActive
DSH340040XChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Emergency Department628 E 12TH STWashingtonNCActive
DSH340040YChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERMARION L SHEPARD CANCER CENTER - ECU Health Beaufort Hospital Oncology1209 BROWN STWASHINGTONNCActive
DSH340040ZChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Diagnostic628 E 12TH STWashingtonNCActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesMain AddressUpdateChange Request 2100 Stantonsburg Road Greenville, NC 27834-2818 313 Airport Rd, Suite A Kinston, NC 285045/8/2025 8:09 AM
DetailsStateUpdate ApprovedActive4/1/2025 12:01 AM
ContactsSigned ByInsertNew Registration Briley, Jay President ECU Health Medical Center 25284750141/29/2025 1:51 PM
Details340B IDUpdateNew Registration DSH340040AH1/29/2025 1:51 PM
DetailsEntity NameUpdateNew RegistrationPITT COUNTY MEMORIAL HOSPITAL INCPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER1/29/2025 1:51 PM
DetailsEntity SubnameUpdateNew RegistrationECU Health Infusion - KinstonECU Health Infusion - Kinston - Kinston Infusion Clinic1/29/2025 1:51 PM
DatesParticipating Approval DateUpdateNew Registration 1/29/2025 1:51:28 PM1/29/2025 1:51 PM
DetailsStateUpdateNew RegistrationPendingApproved1/29/2025 1:51 PM
DatesSigned By DateUpdateNew Registration 1/14/2025 5:25:10 PM1/29/2025 1:51 PM
DatesStart DateUpdateNew Registration 4/1/2025 12:00:00 AM1/29/2025 1:51 PM
AddressesMain AddressInsertNew Registration  2100 Stantonsburg Road Greenville, NC 27834-28181/14/2025 4:59 PM
AddressesBilling AddressInsertNew Registration ECU Health Accounts Payable PO Box 6028 Greenville, NC 27835-60281/14/2025 4:59 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/14/2025 4:59 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/14/2025 4:59 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 12851982831/14/2025 4:59 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/14/2025 4:59 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 15982723791/14/2025 4:59 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/14/2025 4:59 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/14/2025 4:59 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 12954581311/14/2025 4:59 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 12851982831/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 15982723791/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 12954581311/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration AR1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration AR1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration CA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration CO1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration CO1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration CT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration CT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration DC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration DC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration FL1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration FL1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration GA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration GA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration KY1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration KY1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MD1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MD1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MI1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MI1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MO1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MO1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NJ1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NJ1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NV1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NV1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NY1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NY1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration OH1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration OH1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration PA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration PA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration SC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration SC1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration TN1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration TN1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration VA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration VA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration WV1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration WV1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration AL1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration AL1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration IL1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration IL1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration IN1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration IN1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration LA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration LA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration TX1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration TX1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration DE1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration DE1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration VT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration VT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NH1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NH1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration WA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration WA1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration AZ1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration AZ1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration ME1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration ME1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NM1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NM1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NE1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration NE1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration OK1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration OK1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration UT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration UT1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration WI1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration WI1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189441/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MN1/14/2025 4:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596871/14/2025 4:59 PM
Medicaid BillingNPI: StateInsertNew Registration MN1/14/2025 4:59 PM
ContactsPrimary ContactInsertNew Registration Aldrich, Natascha Pharmacy 340B Compliance Manager ECU Health 25284737281/14/2025 4:59 PM
ContactsAuthorizing OfficialInsertNew Registration Briley, Jay President ECU Health Medical Center 25284750141/14/2025 4:59 PM
DetailsAssistance Received From DateInsertNew Registration  1/14/2025 4:59 PM
DetailsAssistance Received To DateInsertNew Registration  1/14/2025 4:59 PM
DetailsLast Recertification DateInsertNew Registration  1/14/2025 4:59 PM
DetailsGrant NumberInsertNew Registration  1/14/2025 4:59 PM
Details340B IDInsertNew Registration  1/14/2025 4:59 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/14/2025 4:59 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/14/2025 4:59 PM
DetailsMedicare Provider NumberInsertNew Registration 3400401/14/2025 4:59 PM
DetailsEntity NameInsertNew Registration PITT COUNTY MEMORIAL HOSPITAL INC1/14/2025 4:59 PM
DetailsNOFO NumberInsertNew Registration  1/14/2025 4:59 PM
DetailsProgram CodeInsertNew Registration DSH1/14/2025 4:59 PM
DetailsEntity SubnameInsertNew Registration ECU Health Infusion - Kinston1/14/2025 4:59 PM
DatesParticipating Approval DateInsertNew Registration  1/14/2025 4:59 PM
DetailsStateInsertNew Registration Pending1/14/2025 4:59 PM
DatesRegistration DateInsertNew Registration 1/14/2025 4:59:11 PM1/14/2025 4:59 PM
DatesSigned By DateInsertNew Registration  1/14/2025 4:59 PM
DatesStart DateInsertNew Registration  1/14/2025 4:59 PM
TerminationsTermination CommentsInsertNew Registration  1/14/2025 4:59 PM
TerminationsTermination DateInsertNew Registration  1/14/2025 4:59 PM
TerminationsTermination Effective DateInsertNew Registration  1/14/2025 4:59 PM
TerminationsTermination ReasonInsertNew Registration  1/14/2025 4:59 PM