Covered Entity Details

DSH340141G Novant Health New Hanover Regional Medical Center (Active) - information as of 5/26/2025 12:54:39 AM

Main Details

Name

Novant Health New Hanover Regional Medical Center

Subdivision Name

Health & Diagnostics, Military Cutoff

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH340141G

Medicare Provider Number

340141

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

7/8/2013

Participating Start Date

10/1/2013

Participating Approval Date

7/9/2013

Last Recertification Date

8/24/2024

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

1135 Military Cutoff Rd
Wilmington, NC 28405

Billing Address

Novant Health New Hanover Regional Medical Center
2131 S. 17th Street
Wilmington, NC 28401

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
NC	3400141	1548216880,1376139139
SC	128171,153836
FL	092569100
GA	003108153A

Shipping Addresses

Shipping Address 1

Novant Health New Hanover Regional Medical Center
2131 S. 17th Street
Wilmington, NC 28401

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	Last Recertification Date	Update	Recertification	8/18/2023 1:15:35 PM	8/24/2024 11:09:20 AM	8/24/2024 11:09 AM
Details	Last Recertification Date	Update	Recertification	9/8/2022 1:32:01 PM	8/18/2023 1:15:35 PM	8/18/2023 1:15 PM
Contacts	Primary Contact	Update	Group Change Request	Corazzo, Elizabeth Anne Manager Pharmacy 340B Novant Health 3362770301	Corazzo, Elizabeth Anne Pharmacy Manager 340B Novant Health, Inc 3362770301	3/16/2023 6:52 AM
Contacts	Primary Contact	Update	Profile Change Request	Hansen, Elizabeth Corazzo Supervisor Pharmacy 340B Novant Health 3362770301	Corazzo, Elizabeth Anne Manager Pharmacy 340B Novant Health 3362770301	2/7/2023 4:18 PM
Details	Last Recertification Date	Update	Recertification	9/10/2021 11:57:30 AM	9/8/2022 1:32:01 PM	9/8/2022 1:32 PM
Contacts	Primary Contact	Update	Group Change Request	Romero, Melissa 340B Coordinator NHNHRMC 9106672764	Hansen, Elizabeth Corazzo Supervisor Pharmacy 340B Novant Health 3362770301	5/6/2022 9:11 AM
Details	Last Recertification Date	Update	Recertification	8/23/2020 9:24:21 AM	9/10/2021 11:57:30 AM	9/10/2021 11:57 AM
Addresses	Shipping Address	Delete	Change Request	New Hanover Regional Medical Center 2131 S. 17th Street Wilmington, NC 28401		2/5/2021 8:03 AM
Addresses	Shipping Address	Insert	Change Request		Novant Health New Hanover Regional Medical Center 2131 S. 17th Street Wilmington, NC 28401	2/5/2021 8:03 AM
Addresses	Billing Address	Update	Change Request	New Hanover Regional Medical Center 2131 S. 17th Street Wilmington, NC 28401	Novant Health New Hanover Regional Medical Center 2131 S. 17th Street Wilmington, NC 28401	2/5/2021 8:03 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1376139139	2/5/2021 8:03 AM
Medicaid Billing	NPI: State	Insert	Change Request		NC	2/5/2021 8:03 AM
Contacts	Primary Contact	Update	Change Request	Leath, Melissa 340B Coordinator New Hanover Regional Medical Center 9106672764	Romero, Melissa 340B Coordinator NHNHRMC 9106672764	2/5/2021 8:03 AM
Details	Entity Subname	Update	Change Request	NHRMC Health & Diagnostics, Military Cutoff	Health & Diagnostics, Military Cutoff	2/5/2021 8:03 AM
Details	Entity Name	Update	Change Request	NEW HANOVER REGIONAL MEDICAL CENTER	Novant Health New Hanover Regional Medical Center	2/3/2021 1:21 PM
Medicaid Billing	NPI: State	Update	Recertification		NC	8/23/2020 9:24 AM
Details	Last Recertification Date	Update	Recertification	9/10/2019 7:16:52 PM	8/23/2020 9:24:21 AM	8/23/2020 9:24 AM
Medicaid Billing	Medicaid: Number	Update	Change Request	92569100	092569100	10/30/2019 12:35 PM
Contacts	Primary Contact	Update	Change Request	Seijo, Eduardo Director of Pharmacy New Hanover Regional Medical Center 9106674666	Leath, Melissa 340B Coordinator New Hanover Regional Medical Center 9106672764	10/30/2019 12:35 PM
Details	Last Recertification Date	Update	Recertification	8/28/2018 11:37:55 AM	9/10/2019 7:16:52 PM	9/10/2019 7:16 PM
Details	Last Recertification Date	Update	Recertification	12/1/2017 12:34:50 PM	8/28/2018 11:37:55 AM	8/28/2018 11:37 AM
Medicaid Billing	Medicaid: Number	Update	Recertification	NC-3400141	3400141	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		128171	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		SC	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		153836	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		SC	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		92569100	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		FL	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		003108153A	12/1/2017 12:34 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		GA	12/1/2017 12:34 PM
Details	Last Recertification Date	Update	Recertification	9/6/2016 12:00:00 AM	12/1/2017 12:34:50 PM	12/1/2017 12:34 PM
Contacts	Primary Contact	Update		Seijo, Eduardo Director of Pharmacy 9106674666	Seijo, Eduardo Director of Pharmacy New Hanover Regional Medical Center 9106674666	11/6/2017 1:01 PM
Contacts	Authorizing Official	Update		Whalin, Laurie VP of Clinical Support Services 9106677731	Whalin, Laurie VP of Clinical Support Services New Hanover Regional Medical Center 9106677731	9/29/2017 7:45 AM
Contacts	Authorizing Official	Insert			Whalin, Laurie VP of Clinical Support Services 9106677731	7/31/2017 4:59 PM
Contacts	Primary Contact	Insert			Seijo, Eduardo Director of Pharmacy 9106674666	7/31/2017 4:59 PM
Addresses	Main Address	Insert			1135 Military Cutoff Rd Wilmington, NC 28405	7/31/2017 4:59 PM
Addresses	Billing Address	Insert			New Hanover Regional Medical Center 2131 S. 17th Street Wilmington, NC 28401	7/31/2017 4:59 PM
Addresses	Shipping Address	Insert			New Hanover Regional Medical Center 2131 S. 17th Street Wilmington, NC 28401	7/31/2017 4:59 PM
Contacts	Signed By	Insert			OLLIE, EDWIN J. CFO 9103434699	7/31/2017 4:59 PM
Details	Last Recertification Date	Update		9/3/2015 12:00:00 AM	9/6/2016 12:00:00 AM	9/6/2016 8:04 AM
Details	Last Recertification Date	Update		8/27/2014 12:00:00 AM	9/3/2015 12:00:00 AM	9/3/2015 8:17 PM
Details	Last Recertification Date	Update			8/27/2014 12:00:00 AM	8/27/2014 1:53 PM
Dates	Participating Approval Date	Update			7/9/2013 12:00:00 AM	7/9/2013 11:11 AM
Details	State	Update		Pending	Active	7/9/2013 11:11 AM
Dates	Start Date	Update			10/1/2013 12:00:00 AM	7/9/2013 11:11 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG	DSH340141G	7/8/2013 2:54 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	7/8/2013 10:55 AM
Medicaid Billing	Medicaid: Number	Insert			NC-3400141	7/8/2013 10:55 AM
Medicaid Billing	Medicaid: State	Insert			NC	7/8/2013 10:55 AM
Medicaid Billing	NPI: Number	Insert			1548216880	7/8/2013 10:55 AM
Details	Last Recertification Date	Insert				7/8/2013 10:55 AM
Details	Grant Number	Insert				7/8/2013 10:55 AM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	7/8/2013 10:55 AM
Details	Is Authorizing Official EHB Data	Insert				7/8/2013 10:55 AM
Dates	Last Date That 340B Drugs Purchased	Insert				7/8/2013 10:55 AM
Details	Medicare Provider Number	Insert			340141	7/8/2013 10:55 AM
Details	Entity Name	Insert			NEW HANOVER REGIONAL MEDICAL CENTER	7/8/2013 10:55 AM
Details	Program Code	Insert			DSH	7/8/2013 10:55 AM
Details	Entity Subname	Insert			NHRMC Health & Diagnostics, Military Cutoff	7/8/2013 10:55 AM
Dates	Participating Approval Date	Insert				7/8/2013 10:55 AM
Details	State	Insert			Pending	7/8/2013 10:55 AM
Dates	Registration Date	Insert			7/8/2013 12:00:00 AM	7/8/2013 10:55 AM
Dates	Signed By Date	Insert			7/8/2013 12:00:00 AM	7/8/2013 10:55 AM
Dates	Start Date	Insert				7/8/2013 10:55 AM
Terminations	Termination Comments	Insert				7/8/2013 10:55 AM
Terminations	Termination Date	Insert				7/8/2013 10:55 AM
Terminations	Termination Effective Date	Insert				7/8/2013 10:55 AM
Terminations	Termination Reason	Insert				7/8/2013 10:55 AM