Covered Entity Details

DSH340071H HARNETT HEALTH SYSTEM, INC. (Active) - information as of 5/17/2025 10:55:18 PM

Main Details

Name

HARNETT HEALTH SYSTEM, INC.

Subdivision Name

Cardiopulmonary

Type

Disproportionate Share Hospital

Rural

340B ID

DSH340071H

Medicare Provider Number

340071

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

4/10/2014

Participating Start Date

7/1/2014

Participating Approval Date

5/29/2014

Last Recertification Date

8/14/2024

Contacts

Authorizing Official

Harnett Health System
Michael Tart, President
(910) 766-7102

Primary Contact

Harnett Health System
Amy Pope, Pharmacy Manager
(910) 766-7074

Addresses

Street Address

215 Brightwater Drive
Lillington, NC 27546

Billing Address

Harnett Health System
215 Brightwater Drive
Att: Pharmacy Department
Lillington, NC 27546

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	3400071	1922144757

Shipping Addresses

Shipping Address 1

Harnett Health System
215 Brightwater Drive
Att: Pharmacy Department
Lillington, NC 27546

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
DSH340071A	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Outpatient Cardiac Testing	803 Tilghman Drive	Dunn	NC	Terminated
DSH340071B	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Breast Cancer Center	700 Tilghman Drive	Dunn	NC	Active
DSH340071C	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Wound Care Center	803 Tilghman Drive	Dunn	NC	Active
DSH340071D	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Outpatient Rehabilitation	55 Bain Street	Lillington	NC	Active
DSH340071E	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Benson Rehabilitation and Wellness Center	#1 Medical Drive	Benson	NC	Terminated
DSH340071F	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Outpatient Observation	215 Brightwater Drive	Lillington	NC	Active
DSH340071G	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Emergency Department	215 Brightwater Drive	Lillington	NC	Active
DSH340071H	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Cardiopulmonary	215 Brightwater Drive	Lillington	NC	Active
DSH340071J	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Occupational Therapy	215 Brightwater Drive	Lillington	NC	Active
DSH340071K	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Speech Therapy	215 Brightwater Drive	Lillington	NC	Active
DSH340071L	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Physical Therapy	215 Brightwater Drive	Lillington	NC	Active
DSH340071M	Child	DSH	HARNETT HEALTH SYSTEM, INC.	CT	215 Brightwater Drive	Lillington	NC	Active
DSH340071N	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Mammography	215 Brightwater Drive	Lillington	NC	Active
DSH340071P	Child	DSH	HARNETT HEALTH SYSTEM, INC.	MRI	215 Brightwater Drive	Lillington	NC	Active
DSH340071Q	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Ultrasound	215 Brightwater Drive	Lillington	NC	Active
DSH340071R	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Radiology	215 Brightwater Drive	Lillington	NC	Active
DSH340071S	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Outpatient Surgery (Anesthesiology)	215 Brightwater Drive	Lillington	NC	Active
DSH340071T	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Outpatient Surgery (Recovery Room)	215 Brightwater Drive	Lillington	NC	Active
DSH340071U	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Outpatient Surgery (Operating Room)	215 Brightwater Drive	Lillington	NC	Active
DSH340071V	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Nuclear Medicine	215 Brightwater Drive	Lillington	NC	Active
DSH340071W	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Oncology - Oncology	225 Brightwater Drive	Lillington	NC	Active
DSH340071X	Child	DSH	HARNETT HEALTH SYSTEM, INC.	Cardiac Cath Lab - Cardiology Lab	215 Brightwater Drive	Lillington	NC	Active
DSH340071Y	Child	DSH	HARNETT HEALTH SYSTEM, INC.	HH Infusion & Injection Services - Infusion	225 Brightwater Drive	Lillington	NC	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Change Request	Hess, Cory President HH - CFV VP Harnett Health System 9107667100	Tart, Michael President Harnett Health System 9107667102	12/30/2024 1:40 PM
Details	Last Recertification Date	Update	Recertification	8/15/2023 4:16:11 PM	8/14/2024 9:18:05 AM	8/14/2024 9:18 AM
Details	Last Recertification Date	Update	Recertification	9/7/2022 12:46:31 PM	8/15/2023 4:16:11 PM	8/15/2023 4:16 PM
Contacts	Primary Contact	Update	Change Request	Pope, Amy Pharmacy Director Harnett Health System 9108921000-4096	Pope, Amy Pharmacy Manager Harnett Health System 9107667074	6/22/2023 7:44 AM
Contacts	Authorizing Official	Update	Change Request	Lang, Jessica Chief Financial Officer Harnett Health System 9108921000-4016	Hess, Cory President HH - CFV VP Harnett Health System 9107667100	9/29/2022 11:23 AM
Details	Last Recertification Date	Update	Recertification	8/27/2021 9:04:05 AM	9/7/2022 12:46:31 PM	9/7/2022 12:46 PM
Details	Last Recertification Date	Update	Recertification	8/25/2020 10:06:25 AM	8/27/2021 9:04:05 AM	8/27/2021 9:04 AM
Contacts	Authorizing Official	Update	Change Request	Jones, Mike VP Support Services Harnett Health 9108921000-3003	Lang, Jessica Chief Financial Officer Harnett Health System 9108921000-4016	6/16/2021 7:49 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/25/2020 10:06 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		3400071	8/25/2020 10:06 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NC	8/25/2020 10:06 AM
Medicaid Billing	NPI: State	Update	Recertification		NC	8/25/2020 10:06 AM
Details	Last Recertification Date	Update	Recertification	8/27/2019 8:43:11 AM	8/25/2020 10:06:25 AM	8/25/2020 10:06 AM
Details	Last Recertification Date	Update	Recertification	8/21/2018 10:39:57 AM	8/27/2019 8:43:11 AM	8/27/2019 8:43 AM
Details	Last Recertification Date	Update	Recertification	11/9/2017 10:11:35 AM	8/21/2018 10:39:57 AM	8/21/2018 10:39 AM
Details	Last Recertification Date	Update	Recertification	10/25/2017 10:20:12 AM	11/9/2017 10:11:35 AM	11/9/2017 10:11 AM
Details	Last Recertification Date	Update	Recertification	8/22/2016 12:00:00 AM	10/25/2017 10:20:12 AM	10/25/2017 10:20 AM
Contacts	Authorizing Official	Update		Jones, Mike VP Support Services 9108921000-3003	Jones, Mike VP Support Services Harnett Health 9108921000-3003	10/24/2017 10:15 AM
Contacts	Primary Contact	Update		Pope, Amy Pharmacy Director 9108921000-4096	Pope, Amy Pharmacy Director Harnett Health System 9108921000-4096	9/19/2017 8:21 AM
Contacts	Signed By	Insert			Allen, Vicki VP Patient Care Services, CNO 9108921000-4104	4/28/2017 8:03 AM
Contacts	Primary Contact	Update		Holmes, Alyce Pharmacy Director 9108921000-4094	Pope, Amy Pharmacy Director 9108921000-4096	8/22/2016 11:39 AM
Contacts	Authorizing Official	Insert			Jones, Mike VP Support Services 9108921000-3003	8/22/2016 11:39 AM
Addresses	Main Address	Insert			215 Brightwater Drive Lillington, NC 27546	8/22/2016 11:38 AM
Details	Last Recertification Date	Update		8/13/2015 12:00:00 AM	8/22/2016 12:00:00 AM	8/22/2016 11:38 AM
Details	Last Recertification Date	Update		8/7/2014 12:00:00 AM	8/13/2015 12:00:00 AM	8/13/2015 3:39 PM
Contacts	Primary Contact	Insert			Holmes, Alyce Pharmacy Director 9108921000-4094	8/13/2015 3:39 PM
Addresses	Billing Address	Insert			Harnett Health System 215 Brightwater Drive Att: Pharmacy Department Lillington, NC 27546	12/30/2014 8:08 AM
Addresses	Shipping Address	Insert			Harnett Health System 215 Brightwater Drive Att: Pharmacy Department Lillington, NC 27546	12/30/2014 8:08 AM
Details	Last Recertification Date	Update			8/7/2014 12:00:00 AM	8/7/2014 2:19 PM
Dates	Participating Approval Date	Update			5/29/2014 12:00:00 AM	5/29/2014 10:34 AM
Details	State	Update		Pending	Active	5/29/2014 10:34 AM
Dates	Start Date	Update			7/1/2014 12:00:00 AM	5/29/2014 10:34 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG	DSH340071H	4/14/2014 2:13 PM
Medicaid Billing	NPI: Number	Insert			1922144757	4/10/2014 6:45 PM
Details	Last Recertification Date	Insert				4/10/2014 6:45 PM
Details	Grant Number	Insert				4/10/2014 6:45 PM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	4/10/2014 6:45 PM
Details	Is Authorizing Official EHB Data	Insert				4/10/2014 6:45 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/10/2014 6:45 PM
Details	Medicare Provider Number	Insert			340071	4/10/2014 6:45 PM
Details	Entity Name	Insert			HARNETT HEALTH SYSTEM, INC.	4/10/2014 6:45 PM
Details	Program Code	Insert			DSH	4/10/2014 6:45 PM
Details	Entity Subname	Insert			Cardiopulmonary	4/10/2014 6:45 PM
Dates	Participating Approval Date	Insert				4/10/2014 6:45 PM
Details	State	Insert			Pending	4/10/2014 6:45 PM
Dates	Registration Date	Insert			4/10/2014 12:00:00 AM	4/10/2014 6:45 PM
Dates	Signed By Date	Insert			4/10/2014 12:00:00 AM	4/10/2014 6:45 PM
Dates	Start Date	Insert				4/10/2014 6:45 PM
Terminations	Termination Comments	Insert				4/10/2014 6:45 PM
Terminations	Termination Date	Insert				4/10/2014 6:45 PM
Terminations	Termination Effective Date	Insert				4/10/2014 6:45 PM
Terminations	Termination Reason	Insert				4/10/2014 6:45 PM