340B Drug Pricing Program Database


FQHCLA434G MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. (Active) - information as of 6/15/2025 6:04:59 AM

Main Details
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.
MAHEC Center for Psychiatry and Mental Wellness
Health Center Program Look-Alike
BPS-LAL-034899
FQHCLA434G
LALCS45788


Additional Details
Active
7/12/2022
10/1/2022
8/24/2022
2/12/2025

Contacts

Mountain Area Health Education Center, Inc.
William R Hathaway, CEO
(828) 257-4405

Mountain Area Health Education Center (MAHEC
Matthew Ransom, Director of 340B Pharmacy Services
(828) 771-3414

Addresses

125 Hendersonville Rd
Asheville, NC 28803-2868

Mountain Area Health Education Center, Inc.
121 Hendersonville Road
Asheville, NC 28803-2868


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
NC1194921767,1396856225,1417033218,1548793680,1649615998,1760600548,1043431901,1043539257,1063630648,1073856506,1083670921,1083901276,1093100943,1093110322,1093879249,1124243035,1144540667,1144873985,1154653723,1164612594,1174571855,1174741920,1174788814,1184678005,1215044037,1225096852,1245550185,1255725552,1255851499,1265745327,1275087892,1275597965,1295770618,1295974335,1316207905,1336107499,1336137652,1336716729,1366939514,1386059202,1386087112,1407389877,1417077736,1437564374,1457671935,1477817013,1528093317,1538121306,1538609565,1548222870,1548523210,1558695981,1568494862,1578649471,1578895447,1588768162,1588958003,1639194186,1639535768,1649537564,1659488328,1659782662,1659962165,1669589404,1669933529,1699270298,1699731539,1700840022,1740247436,1750886636,1760488076,1760934897,1790198687,1801997093,1811087455,1811282817,1811333297,1821059593,1821137688,1841254158,1841427432,1841843992,1851723795,1861712440,1861877516,1871601369,1902067432,1902914922,1912003187,1922268978,1922494566,1962497511,1962848358,1962928713,1972875557,1972914059,1982136966,1982668521,1992738157,1376084913,1861021602,1902441983,1578839908,1689052573,1578068789,1346207040,1366676231,1174287833,1679935431,1396756995,1639612492,1053317032,1326492281,1144846940,1275638595,1437545233,1285250217,1205561594,1194954719,1073015046,1376809111,1639114515,1144998386,1689917072,1760091797,1578271383,1629020599,1720549942,1811510209,1073140281,1598393811,1023079381,1992977847,1063543163,1982940417,1407074255,1851473250,1407916067,1982059416,1134152168,1467143875,1891237178,1326150962,1578706495,1528142601,1144312604,1992382790,1558063826,1841992708,1821790189,1376857029,1447952866,1538862669,1932801958,1477255651,1114659125,1386222198,1477257335,1154025906,1376247395,1790487627,1194428870,1639829278,1528718111,1386393684,1386393668,1023767225,1396494597,1205576444,1043969736,1386394948,1043960214,1780324509,1821748500,1598341331,1225612450,1215687587,1306414628,1659935229,1194302778,1295312114,1972180107,1437736337,1538746714,1376122895,1518532068,1831776186,1508443243,1144807439,1881271146,1568164820,1205539061,1114629490,1407550114,1003519992,1568165355,1801598990,1225776008,1497457717,1770285017,1801599675,1861195869,1083316434,1760131312,1306423603,1285215178,1396322574,1245867530,1457938474,1841940400,1679100903,1164162590,1811518277,1740740661,1225615222,1710514252,1114596384,1295437283,1548938202,1255968533,1881398774,1740939388,1164124046,1033811484,1902508229,1821790148,1710673751,1356045454,1306596366,1700526910,1336515113,1699425116,1659021244,1710636188,1790363299,1922685213,1588241533,1508443193,1013594316,1700463650,1336777994,1386271765,1194352740,1265069322,1659831766,1124588272,1679034839,1194286716,1285130039,1144726977,1861998189,1326543539,1477087138,1558895250,1437685146,1982138186,1154958056,1013544071,1821550542,1528528015,1750083861,1295438232,1649973025,1174225460,1487357240,1689377707,1649973504,1295437465,1649972811,1336841766,1225732860,1679276471,1558011304,1073263604,1619626223,1518588391,1477293660,1497405955,1104566751,1669122511,1578212890,1811647639,1982354536,1568112548,1770162463,1417534041,1316526197,1578141081,1134706591,1033796537,1184201188,1518544618,1144808262,1598343253,1376121558,11741000441194921767,1396856225,1417033218,1548793680,1649615998,1760600548,1043431901,1043539257,1063630648,1073856506,1083670921,1083901276,1093100943,1093110322,1093879249,1124243035,1144540667,1144873985,1154653723,1164612594,1174571855,1174741920,1174788814,1184678005,1215044037,1225096852,1245550185,1255725552,1255851499,1265745327,1275087892,1275597965,1295770618,1295974335,1316207905,1336107499,1336137652,1336716729,1366939514,1386059202,1386087112,1407389877,1417077736,1437564374,1457671935,1477817013,1528093317,1538121306,1538609565,1548222870,1548523210,1558695981,1568494862,1578649471,1578895447,1588768162,1588958003,1639194186,1639535768,1649537564,1659488328,1659782662,1659962165,1669589404,1669933529,1699270298,1699731539,1700840022,1740247436,1750886636,1760488076,1760934897,1790198687,1801997093,1811087455,1811282817,1811333297,1821059593,1821137688,1841254158,1841427432,1841843992,1851723795,1861712440,1861877516,1871601369,1902067432,1902914922,1912003187,1922268978,1922494566,1962497511,1962848358,1962928713,1972875557,1972914059,1982136966,1982668521,1992738157,1376084913,1861021602,1902441983,1578839908,1689052573,1578068789,1346207040,1366676231,1174287833,1679935431,1396756995,1639612492,1053317032,1326492281,1144846940,1275638595,1437545233,1285250217,1205561594,1194954719,1073015046,1376809111,1639114515,1144998386,1689917072,1760091797,1578271383,1629020599,1720549942,1811510209,1073140281,1598393811,1023079381,1992977847,1063543163,1982940417,1407074255,1851473250,1407916067,1982059416,1134152168,1467143875,1891237178,1326150962,1578706495,1528142601,1144312604,1992382790,1558063826,1841992708,1821790189,1376857029,1447952866,1538862669,1932801958,1477255651,1114659125,1386222198,1477257335,1154025906,1376247395,1790487627,1194428870,1639829278,1528718111,1386393684,1386393668,1023767225,1396494597,1205576444,1043969736,1386394948,1043960214,1780324509,1821748500,1598341331,1225612450,1215687587,1306414628,1659935229,1194302778,1295312114,1972180107,1437736337,1538746714,1376122895,1518532068,1831776186,1508443243,1144807439,1881271146,1568164820,1205539061,1114629490,1407550114,1003519992,1568165355,1801598990,1225776008,1497457717,1770285017,1801599675,1861195869,1083316434,1760131312,1306423603,1285215178,1396322574,1245867530,1457938474,1841940400,1679100903,1164162590,1811518277,1740740661,1225615222,1710514252,1114596384,1295437283,1548938202,1255968533,1881398774,1740939388,1164124046,1033811484,1902508229,1821790148,1710673751,1356045454,1306596366,1700526910,1336515113,1699425116,1659021244,1710636188,1790363299,1922685213,1588241533,1508443193,1013594316,1700463650,1336777994,1386271765,1194352740,1265069322,1659831766,1124588272,1679034839,1194286716,1285130039,1144726977,1861998189,1326543539,1477087138,1558895250,1437685146,1982138186,1154958056,1013544071,1821550542,1528528015,1750083861,1295438232,1649973025,1174225460,1487357240,1689377707,1649973504,1295437465,1649972811,1336841766,1225732860,1679276471,1558011304,1073263604,1619626223,1518588391,1477293660,1497405955,1104566751,1669122511,1578212890,1811647639,1982354536,1568112548,1770162463,1417534041,1316526197,1578141081,1134706591,1033796537,1184201188,1518544618,1144808262,1598343253,1376121558,1174100044
Shipping Addresses

MAHEC Community Pharmacy at Biltmore
125 Hendersonville Road
Asheville, NC 28803
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750208/24/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884908/24/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/10/202201/01/2023  01/01/2023
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282208/24/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349208/24/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607508/24/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624108/24/202210/01/2022  10/01/2022
Contract DetailADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280901/02/202504/01/2025  04/01/2025
Contract DetailAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201410/17/202211/15/2022  11/15/2022
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/10/202407/01/2024 07/01/202406/18/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267004/10/202407/01/2024  07/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526104/10/202407/01/2024  07/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522604/12/202407/01/2024 07/01/202406/18/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620304/12/202407/01/2024 07/01/202406/18/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/02/202410/01/2024  10/01/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813310/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237410/07/202211/15/2022  11/15/2022
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/07/202211/15/2022  11/15/2022
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870604/10/202307/01/2023  07/01/2023
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005604/10/202307/01/2023  07/01/2023
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/07/202211/15/2022  11/15/2022
Contract DetailDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654104/10/202407/01/2024  07/01/2024
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111208/24/202210/01/2022  10/01/2022
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313408/24/202210/01/2022  10/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801608/24/202210/01/2022  10/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607508/24/202210/01/2022  10/01/2022
Contract DetailGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880610/10/202211/15/2022 01/14/202501/14/2025
Contract DetailGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880510/10/202211/15/2022  11/15/2022
Contract DetailKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878610/17/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880610/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880310/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813910/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877810/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880610/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879210/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873210/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880310/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879210/05/202211/15/2022  11/15/2022
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878707/18/202310/01/2023  10/01/2023
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880607/18/202310/01/2023  10/01/2023
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880407/18/202310/01/2023  10/01/2023
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878607/18/202310/01/2023  10/01/2023
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871107/18/202310/01/2023  10/01/2023
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870407/18/202310/01/2023  10/01/2023
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875410/02/202301/01/2024  01/01/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880504/09/202407/01/2024  07/01/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871204/09/202407/01/2024  07/01/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880404/09/202407/01/2024  07/01/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877904/09/202407/01/2024  07/01/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875901/02/202504/01/2025  04/01/2025
Contract DetailOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302510/10/202211/15/2022  11/15/2022
Contract DetailOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520407/15/202410/01/2024  10/01/2024
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/10/202211/15/2022  11/15/2022
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508510/10/202211/15/2022  11/15/2022
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/10/202211/15/2022  11/15/2022
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/07/202211/15/2022  11/15/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/07/202211/15/2022  11/15/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681310/07/202211/15/2022  11/15/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/07/202211/15/2022  11/15/2022
Contract DetailPROCARE PHARMACY, LLCDBA CVS/PHARMACY#2980 601 S. KINGS DR.
CHARLOTTENC2820404/09/202407/01/2024  07/01/2024
Contract DetailPUBLIX NORTH CAROLINA, LPPUBLIX PHARMACY #1640 124 FRAZIER ST
WAYNESVILLENC2878604/15/202407/01/2024  07/01/2024
Contract DetailPUBLIX NORTH CAROLINA, LPPUBLIX PHARMACY #1473 1830 HENDERSONVILLE ROAD
ASHEVILLENC2880304/15/202407/01/2024  07/01/2024
Contract DetailPUBLIX NORTH CAROLINA, LPPUBLIX PHARMACY #1546 165 WEAVER BLVD.
WEAVERVILLENC2878704/15/202407/01/2024  07/01/2024
Contract DetailPUBLIX SUPER MARKETS, INC.PUBLIX CENTRAL PHARMACY #3201 2424 ORLANDO CENTRAL PARKWAY
ORLANDOFL3280904/15/202407/01/2024  07/01/2024
Contract DetailPUBLIX SUPER MARKETS, INC.PUBLIX PHARMACY #3213 1950 SAND LAKE RD, BLDG #5
ORLANDOFL3280904/15/202407/01/2024  07/01/2024
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103
NEWBURGHNY1255004/10/202407/01/2024  07/01/2024
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500204/10/202407/01/2024  07/01/2024
Contract DetailSANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301304/12/202407/01/2024  07/01/2024
Contract DetailSONA HEALTH INC DBA SONA PHARMACY + CLIN805 FAIRVIEW RD STE 100 DBA SONA PHARMACY CLINIC
ASHEVILLENC28803-101110/13/202211/15/2022  11/15/2022
Contract DetailSONA HEALTH INC DBA SONA PHARMACY + CLIN106 LONG SHOALS RD STE 100
ARDENNC2870407/18/202310/01/2023  10/01/2023
Contract DetailTARHEEL APOTHECARIESDBA: HEALTHRIDGE PHARMACY 3130 US 70 HWY
BLACK MOUNTAINNC28711-910810/17/202201/01/2023 11/09/202211/09/2022
Contract DetailTARHEEL APOTHECARIESDBA: HEALTHRIDGE PHARMACY 3130 US 70 HWY
BLACK MOUNTAINNC28711-910804/10/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 09458 841 MERRIMON AVENUE
ASHEVILLENC28804-240405/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS #11712 2501 HENDERSONVILLE RD.
ARDENNC2870405/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS #10274 382 ASHEVILLE HWY.
BREVARDNC2871205/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879205/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 07823 1835 HENDERSONVILLE ROAD
ASHEVILLENC28803-323605/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 10212 3 S TUNNEL RD
ASHEVILLENC2880505/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS #10886 1148 ASHEVILLE HWY.
HENDERSONVILLENC2879105/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS #12779 578 NEW LEICESTER HWY.
ASHEVILLENC2880605/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.WALGREENS SPECIALTY PHARMACY #16313 2816 ERWIN ROAD SUITE 105
DURHAMNC2770505/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.WALGREENS #16102 1124 PATTON AVE
ASHEVILLENC2880605/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.WALGREENS #17288 510 NC 9 HWY
BLACK MOUNTAINNC28711-382905/03/202307/01/2023 11/12/202411/12/2024
Contract DetailWALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
HENDERSONVILLENC2879105/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.WALGREENS #19652 244 NEW CLYDE HWY
CANTONNC2871605/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.WALGREENS #17251 41 WESTRIDGE MARKET PL
CANDLERNC2871505/03/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.WALGREENS #19219 590 RUSS AVE
WAYNESVILLENC2878605/03/202307/01/2023  07/01/2023
Contract DetailWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311610/02/202301/01/2024  01/01/2024
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
FQHCLA434ActiveBPS-LAL-034893MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC Family Health Center at Givens600 Barrett Ln AshevilleNC
FQHCLA434AActiveBPS-LAL-034895MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC Family Health Center at Enka/Candler25 Westridge Market Pl CandlerNC
FQHCLA434BActiveBPS-LAL-034900MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC Family Health Center | Internal Medicine | Dental Health Center at Biltmore Primary Care Center123 Hendersonville Rd AshevilleNC
FQHCLA434CActiveBPS-LAL-034898MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC Newbridge Primary Care Center218 Elkwood Ave STE 102 AshevilleNC
FQHCLA434DActiveBPS-LAL-034896MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC Cane Creek Primary Care Center1542 Cane Creek Rd FletcherNC
FQHCLA434EActiveBPS-LAL-034897MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC Family Health Center at Deerfield29 Highbridge Xing AshevilleNC
FQHCLA434FActiveBPS-LAL-034891MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC OBGYN Specialists119 Hendersonville Rd AshevilleNC
FQHCLA434GActiveBPS-LAL-034899MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.MAHEC Center for Psychiatry and Mental Wellness125 Hendersonville Rd AshevilleNC
FQHCLA434HActiveBPS-LAL-038106Mountain Area Health Education Center, INC.MAHEC Women's Care at Brevard87 Medical Park Dr BrevardNC
FQHCLA434JActiveBPS-LAL-038107Mountain Area Health Education Center, INC.MAHEC OB/GYN Specialists Franklin56 Medical Park Dr, Ste 300 FranklinNC
FQHCLA434KActiveBPS-LAL-038108Mountain Area Health Education Center, INC.Mountain Area Health Education Center, Inc.- MAHEC Dental Health Center at Columbus130 Forest Glen Rd ColumbusNC
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
FQHCLA434BACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434CACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434CACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2022  
FQHCLA434GACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434EACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434GACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434DACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434DACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434DACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2022  
FQHCLA434CACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434BACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2022  
FQHCLA434EACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2022  
FQHCLA434BACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434EACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434AACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434AACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434AACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2022  
FQHCLA434ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2022  
FQHCLA434FACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2022  
FQHCLA434FACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2022  
FQHCLA434FACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2022  
FQHCLA434GACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/01/2023  
FQHCLA434BACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434EACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434CACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434BACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434GACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434CACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434BACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434CACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434DACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434EACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434GACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434DACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434DACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434CACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434GACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434AACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434EACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434DACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434AACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434AACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434GACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434AACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434BACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434EACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434FACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2022  
FQHCLA434FACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2022  
FQHCLA434FACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2022  
FQHCLA434FACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2022  
FQHCLA434AADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434CADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434HADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434EADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434GADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434JADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434KADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434BADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434DADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434FADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2025  
FQHCLA434BAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434EAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434AFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434DAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434FAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434CAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434GAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434AAFFINITY SPECIALTY PHARMACYDBA SONA SPECIALTY PHARMACY 1070 TUNNEL RD BLDG 3
ASHEVILLENC28805-201411/15/2022  
FQHCLA434FBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434CBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434FBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434EBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434DBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434DBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434FBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434BBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434GBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434CBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434GBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434CBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434EBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434DBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434GBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434BBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
FQHCLA434BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024 07/01/2024
FQHCLA434EBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434BBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
FQHCLA434ABIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434ABIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434BBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434DBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434FBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434EBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434CBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434CBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434EBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434GBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434DBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434BBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434GBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024 07/01/2024
FQHCLA434FBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024 07/01/2024
FQHCLA434FBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434CBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434DBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434BBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434GBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434EBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
FQHCLA434CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434ACAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434CCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434ECAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434DCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434FCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434GCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434BCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/15/2022  
FQHCLA434CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434ACAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434FCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434CCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434DCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434BCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434ECAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434GCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/15/2022  
FQHCLA434CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434ACAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434DCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434FCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434CCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434ECAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434BCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434GCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/15/2022  
FQHCLA434CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434ACAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434BCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434DCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434CCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434FCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434ECAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434GCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/15/2022  
FQHCLA434CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434ACAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434ECAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434BCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434FCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434CCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434GCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434DCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/15/2022  
FQHCLA434CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434ACAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434FCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434BCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434DCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434ECAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434CCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434GCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/15/2022  
FQHCLA434CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022  
FQHCLA434ACAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022  
FQHCLA434FCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022  
FQHCLA434CCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022 01/01/2023
FQHCLA434BCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022  
FQHCLA434DCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022  
FQHCLA434ECAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022  
FQHCLA434GCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/15/2022  
FQHCLA434CCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/01/2023  
FQHCLA434CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434ACAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434DCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434ECAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434BCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434CCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434FCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434GCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813311/15/2022  
FQHCLA434CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434ACAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434ECAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434CCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434FCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434GCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434DCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434BCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237411/15/2022  
FQHCLA434CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434ACAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434CCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434ECAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434BCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434FCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434DCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434GCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/15/2022  
FQHCLA434DCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434BCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434CCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434FCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434GCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434ACVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434ECVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
FQHCLA434CCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434ECVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434ACVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434FCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434BCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434GCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434DCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
FQHCLA434CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434ACVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434DCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434CCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434ECVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434FCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434BCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434GCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/15/2022  
FQHCLA434DDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434BDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434ADOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434FDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434GDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434CDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434EDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
FQHCLA434BESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434EESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434CESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434DESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434GESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434AESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434FESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2022  
FQHCLA434BEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434CEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434EEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434GEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434DEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434AEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434FEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2022  
FQHCLA434BEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434BEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434CEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434EEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434DEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434GEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434GEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434DEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434EEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434AEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434CEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434AEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434FEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2022  
FQHCLA434FEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2022  
FQHCLA434GENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434GENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434FGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434CGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434BGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434EGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434DGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434DGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434GGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434FGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434GGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434BGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434AGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434EGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434CGENOA HEALTHCARE LLC119 TUNNEL RD STE G
ASHEVILLENC2880511/15/2022  
FQHCLA434AGENOA HEALTHCARE LLC1314 PATTON AVE STE E
ASHEVILLENC2880611/15/2022 01/14/2025
FQHCLA434CKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434EKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434BKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434KIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434AKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434DKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434GKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434FKIM'S PHARMACY479 DELLWOOD RD
WAYNESVILLENC2878611/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022 01/01/2023
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022 01/01/2023
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022 01/01/2023
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022 01/01/2023
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022 01/01/2023
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022 01/01/2023
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022 01/01/2023
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022 01/01/2023
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022 01/01/2023
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880311/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880611/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813911/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873211/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880311/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877811/15/2022  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879211/15/2022  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879211/15/2022  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03559 111 S. MAIN ST.
RUTHERFORDTONNC2813904/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04197 3450 HENDERSONVILLE RD.
FLETCHERNC2873204/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04176 11 RIVER RIDGE DR.
ASHEVILLENC2880304/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04105 1080 HENDERSONVILLE ROAD
ASHEVILLENC2880304/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2538 2351 US 70 HWY
SWANNANOANC2877804/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03582 1605 FOUR SEASONS BLVD.
HENDERSONVILLENC2879204/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05586 320 NEW LEICESTER HWY.
ASHEVILLENC2880604/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04183 2001 SPARTANBURG HIGHWAY
HENDERSONVILLENC2879204/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03847 505 SMOKEY PARK HWY.
ASHEVILLENC2880604/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07013 121 MONTICELLO RD.
WEAVERVILLENC2878710/01/2023  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07521 773 RUSS AVE.
WAYNESVILLENC2878610/01/2023  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07588 612 MERRIMON AVE.
ASHEVILLENC2880410/01/2023  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2023  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07884 324 LONG SHOALS ROAD
ARDENNC2870410/01/2023  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03860 425 WEST STATE ST.,
BLACK MOUNTAINNC2871110/01/2023  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05592 191 CARL ELLER RD.
MARS HILLNC2875401/01/2024  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871207/01/2024  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06769 471 WEAVERVILLE RD.
WOODFINNC2880407/01/2024  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07546 88 NC HWY 107
SYLVANC2877907/01/2024  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16930 115 RIVER HILLS RD
ASHEVILLENC2880507/01/2024  
FQHCLA434JNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04116 24 WESTGATE PKWY.
ASHEVILLENC2880610/01/2024  
FQHCLA434HNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04165 371 ASHEVILLE HIGHWAY
BREVARDNC2871210/01/2024  
FQHCLA434JNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434GNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434KNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434ANORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434BNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434FNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434CNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434DNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434HNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434ENORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04467 128 CROSS ROAD DR.
MILLS RIVERNC2875904/01/2025  
FQHCLA434OPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434DOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434EOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434BOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434AOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434COPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434FOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434GOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302511/15/2022  
FQHCLA434FOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434EOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434GOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434AOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434DOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434BOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434COPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
FQHCLA434BOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434GOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434EOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434DOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434AOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434FOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434COPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/15/2022  
FQHCLA434BOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434GOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434AOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434OPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434EOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434COPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434DOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434FOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/15/2022  
FQHCLA434AOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434EOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434DOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434COPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434GOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434BOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434FOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/15/2022  
FQHCLA434APROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434CPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434EPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434DPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434FPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434GPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434BPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/15/2022  
FQHCLA434PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681311/15/2022  
FQHCLA434PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/15/2022  
FQHCLA434APROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523311/15/2022  
FQHCLA434APROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681311/15/2022  
FQHCLA434APROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/15/2022  
FQHCLA434DPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681311/15/2022  
FQHCLA434EPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/15/2022  
FQHCLA434FPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681311/15/2022  
FQHCLA434CPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/15/2022  
FQHCLA434CPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523311/15/2022  
FQHCLA434DPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/15/2022  
FQHCLA434BPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523311/15/2022  
FQHCLA434FPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523311/15/2022  
FQHCLA434FPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/15/2022  
FQHCLA434EPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681311/15/2022  
FQHCLA434CPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681311/15/2022  
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BLACK MOUNTAINNC28711-910801/01/2023 11/09/2022
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BLACK MOUNTAINNC28711-910807/01/2023  
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FQHCLA434BWALGREEN CO.DBA: WALGREENS # 07823 1835 HENDERSONVILLE ROAD
ASHEVILLENC28803-323607/01/2023  
FQHCLA434WALGREEN CO.WALGREENS #19652 244 NEW CLYDE HWY
CANTONNC2871607/01/2023  
FQHCLA434AWALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879207/01/2023  
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FQHCLA434AWALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
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FQHCLA434WALGREEN CO.WALGREENS #17251 41 WESTRIDGE MARKET PL
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FQHCLA434CWALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
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CANTONNC2871607/01/2023  
FQHCLA434WALGREEN CO.WALGREENS #19219 590 RUSS AVE
WAYNESVILLENC2878607/01/2023  
FQHCLA434CWALGREEN CO.WALGREENS SPECIALTY PHARMACY #16313 2816 ERWIN ROAD SUITE 105
DURHAMNC2770507/01/2023  
FQHCLA434AWALGREEN CO.DBA: WALGREENS #12779 578 NEW LEICESTER HWY.
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FQHCLA434BWALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
HENDERSONVILLENC2879107/01/2023  
FQHCLA434DWALGREEN CO.WALGREENS #16102 1124 PATTON AVE
ASHEVILLENC2880607/01/2023  
FQHCLA434CWALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879207/01/2023  
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FQHCLA434DWALGREEN CO.DBA: WALGREENS #10886 1148 ASHEVILLE HWY.
HENDERSONVILLENC2879107/01/2023  
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FQHCLA434BWALGREEN CO.WALGREENS #19219 590 RUSS AVE
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FQHCLA434DWALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879207/01/2023  
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ASHEVILLENC2880607/01/2023  
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ARDENNC2870407/01/2023  
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ASHEVILLENC28804-240407/01/2023  
FQHCLA434BWALGREEN CO.WALGREENS #19652 244 NEW CLYDE HWY
CANTONNC2871607/01/2023  
FQHCLA434BWALGREEN CO.DBA: WALGREENS #10274 382 ASHEVILLE HWY.
BREVARDNC2871207/01/2023  
FQHCLA434WALGREEN CO.DBA: WALGREENS #11712 2501 HENDERSONVILLE RD.
ARDENNC2870407/01/2023  
FQHCLA434BWALGREEN CO.WALGREENS #17251 41 WESTRIDGE MARKET PL
CANDLERNC2871507/01/2023  
FQHCLA434DWALGREEN CO.DBA: WALGREENS # 07823 1835 HENDERSONVILLE ROAD
ASHEVILLENC28803-323607/01/2023  
FQHCLA434BWALGREEN CO.DBA: WALGREENS #12779 578 NEW LEICESTER HWY.
ASHEVILLENC2880607/01/2023  
FQHCLA434EWALGREEN CO.DBA: WALGREENS # 07823 1835 HENDERSONVILLE ROAD
ASHEVILLENC28803-323607/01/2023  
FQHCLA434CWALGREEN CO.DBA: WALGREENS #10274 382 ASHEVILLE HWY.
BREVARDNC2871207/01/2023  
FQHCLA434DWALGREEN CO.DBA: WALGREENS # 10212 3 S TUNNEL RD
ASHEVILLENC2880507/01/2023  
FQHCLA434WALGREEN CO.WALGREENS #16102 1124 PATTON AVE
ASHEVILLENC2880607/01/2023  
FQHCLA434BWALGREEN CO.DBA: WALGREENS # 09458 841 MERRIMON AVENUE
ASHEVILLENC28804-240407/01/2023  
FQHCLA434CWALGREEN CO.DBA: WALGREENS #11712 2501 HENDERSONVILLE RD.
ARDENNC2870407/01/2023  
FQHCLA434BWALGREEN CO.DBA: WALGREENS #11712 2501 HENDERSONVILLE RD.
ARDENNC2870407/01/2023  
FQHCLA434WALGREEN CO.DBA: WALGREENS # 09458 841 MERRIMON AVENUE
ASHEVILLENC28804-240407/01/2023  
FQHCLA434BWALGREEN CO.DBA: WALGREENS # 10212 3 S TUNNEL RD
ASHEVILLENC2880507/01/2023  
FQHCLA434DWALGREEN CO.WALGREENS #17288 510 NC 9 HWY
BLACK MOUNTAINNC28711-382907/01/2023 11/12/2024
FQHCLA434CWALGREEN CO.DBA: WALGREENS # 09458 841 MERRIMON AVENUE
ASHEVILLENC28804-240407/01/2023  
FQHCLA434WALGREEN CO.DBA: WALGREENS #12779 578 NEW LEICESTER HWY.
ASHEVILLENC2880607/01/2023  
FQHCLA434DWALGREEN CO.WALGREENS #19219 590 RUSS AVE
WAYNESVILLENC2878607/01/2023  
FQHCLA434WALGREEN CO.WALGREENS SPECIALTY PHARMACY #16313 2816 ERWIN ROAD SUITE 105
DURHAMNC2770507/01/2023  
FQHCLA434WALGREEN CO.DBA: WALGREENS # 10212 3 S TUNNEL RD
ASHEVILLENC2880507/01/2023  
FQHCLA434CWALGREEN CO.WALGREENS #17288 510 NC 9 HWY
BLACK MOUNTAINNC28711-382907/01/2023 11/12/2024
FQHCLA434WALGREEN CO.DBA: WALGREENS #10886 1148 ASHEVILLE HWY.
HENDERSONVILLENC2879107/01/2023  
FQHCLA434WALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
HENDERSONVILLENC2879107/01/2023  
FQHCLA434BWALGREEN CO.WALGREENS #16102 1124 PATTON AVE
ASHEVILLENC2880607/01/2023  
FQHCLA434AWALGREEN CO.DBA: WALGREENS #11712 2501 HENDERSONVILLE RD.
ARDENNC2870407/01/2023  
FQHCLA434WALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879207/01/2023  
FQHCLA434CWALGREEN CO.DBA: WALGREENS # 07823 1835 HENDERSONVILLE ROAD
ASHEVILLENC28803-323607/01/2023  
FQHCLA434EWALGREEN CO.DBA: WALGREENS # 10212 3 S TUNNEL RD
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FQHCLA434EWALGREEN CO.DBA: WALGREENS #11712 2501 HENDERSONVILLE RD.
ARDENNC2870407/01/2023  
FQHCLA434EWALGREEN CO.DBA: WALGREENS # 09458 841 MERRIMON AVENUE
ASHEVILLENC28804-240407/01/2023  
FQHCLA434EWALGREEN CO.WALGREENS SPECIALTY PHARMACY #16313 2816 ERWIN ROAD SUITE 105
DURHAMNC2770507/01/2023  
FQHCLA434EWALGREEN CO.WALGREENS #16102 1124 PATTON AVE
ASHEVILLENC2880607/01/2023  
FQHCLA434EWALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879207/01/2023  
FQHCLA434EWALGREEN CO.DBA: WALGREENS #10274 382 ASHEVILLE HWY.
BREVARDNC2871207/01/2023  
FQHCLA434EWALGREEN CO.DBA: WALGREENS #10886 1148 ASHEVILLE HWY.
HENDERSONVILLENC2879107/01/2023  
FQHCLA434EWALGREEN CO.WALGREENS #17251 41 WESTRIDGE MARKET PL
CANDLERNC2871507/01/2023  
FQHCLA434EWALGREEN CO.DBA: WALGREENS #12779 578 NEW LEICESTER HWY.
ASHEVILLENC2880607/01/2023  
FQHCLA434EWALGREEN CO.WALGREENS #17288 510 NC 9 HWY
BLACK MOUNTAINNC28711-382907/01/2023 11/12/2024
FQHCLA434FWALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879207/01/2023  
FQHCLA434EWALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
HENDERSONVILLENC2879107/01/2023  
FQHCLA434EWALGREEN CO.WALGREENS #19219 590 RUSS AVE
WAYNESVILLENC2878607/01/2023  
FQHCLA434FWALGREEN CO.DBA: WALGREENS # 09458 841 MERRIMON AVENUE
ASHEVILLENC28804-240407/01/2023  
FQHCLA434FWALGREEN CO.DBA: WALGREENS # 07823 1835 HENDERSONVILLE ROAD
ASHEVILLENC28803-323607/01/2023  
FQHCLA434FWALGREEN CO.DBA: WALGREENS #10274 382 ASHEVILLE HWY.
BREVARDNC2871207/01/2023  
FQHCLA434FWALGREEN CO.DBA: WALGREENS #10886 1148 ASHEVILLE HWY.
HENDERSONVILLENC2879107/01/2023  
FQHCLA434EWALGREEN CO.WALGREENS #19652 244 NEW CLYDE HWY
CANTONNC2871607/01/2023  
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FQHCLA434FWALGREEN CO.DBA: WALGREENS #12779 578 NEW LEICESTER HWY.
ASHEVILLENC2880607/01/2023  
FQHCLA434FWALGREEN CO.WALGREENS #16102 1124 PATTON AVE
ASHEVILLENC2880607/01/2023  
FQHCLA434FWALGREEN CO.WALGREENS SPECIALTY PHARMACY #16313 2816 ERWIN ROAD SUITE 105
DURHAMNC2770507/01/2023  
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CANDLERNC2871507/01/2023  
FQHCLA434FWALGREEN CO.WALGREENS #19652 244 NEW CLYDE HWY
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ASHEVILLENC28804-240407/01/2023  
FQHCLA434FWALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
HENDERSONVILLENC2879107/01/2023  
FQHCLA434GWALGREEN CO.DBA: WALGREENS #11712 2501 HENDERSONVILLE RD.
ARDENNC2870407/01/2023  
FQHCLA434FWALGREEN CO.WALGREENS #17288 510 NC 9 HWY
BLACK MOUNTAINNC28711-382907/01/2023 11/12/2024
FQHCLA434FWALGREEN CO.WALGREENS #19219 590 RUSS AVE
WAYNESVILLENC2878607/01/2023  
FQHCLA434GWALGREEN CO.DBA: WALGREENS #10274 382 ASHEVILLE HWY.
BREVARDNC2871207/01/2023  
FQHCLA434GWALGREEN CO.DBA: WALGREENS #09930 601 SPARTANBURG HWY.
HENDERSONVILLENC2879207/01/2023  
FQHCLA434GWALGREEN CO.DBA: WALGREENS # 07823 1835 HENDERSONVILLE ROAD
ASHEVILLENC28803-323607/01/2023  
FQHCLA434GWALGREEN CO.DBA: WALGREENS # 10212 3 S TUNNEL RD
ASHEVILLENC2880507/01/2023  
FQHCLA434GWALGREEN CO.DBA: WALGREENS #10886 1148 ASHEVILLE HWY.
HENDERSONVILLENC2879107/01/2023  
FQHCLA434GWALGREEN CO.DBA: WALGREENS #12779 578 NEW LEICESTER HWY.
ASHEVILLENC2880607/01/2023  
FQHCLA434GWALGREEN CO.WALGREENS SPECIALTY PHARMACY #16313 2816 ERWIN ROAD SUITE 105
DURHAMNC2770507/01/2023  
FQHCLA434GWALGREEN CO.WALGREENS #16102 1124 PATTON AVE
ASHEVILLENC2880607/01/2023  
FQHCLA434GWALGREEN CO.WALGREENS #17288 510 NC 9 HWY
BLACK MOUNTAINNC28711-382907/01/2023 11/12/2024
FQHCLA434GWALGREEN CO.WALGREENS #18220 1707 BREVARD HWY
HENDERSONVILLENC2879107/01/2023  
FQHCLA434GWALGREEN CO.WALGREENS #19652 244 NEW CLYDE HWY
CANTONNC2871607/01/2023  
FQHCLA434GWALGREEN CO.WALGREENS #17251 41 WESTRIDGE MARKET PL
CANDLERNC2871507/01/2023  
FQHCLA434GWALGREEN CO.WALGREENS #19219 590 RUSS AVE
WAYNESVILLENC2878607/01/2023  
FQHCLA434HWALGREEN CO.DBA: WALGREENS #10274 382 ASHEVILLE HWY.
BREVARDNC2871210/01/2024  
FQHCLA434Walgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
FQHCLA434DWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
FQHCLA434BWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
FQHCLA434GWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
FQHCLA434CWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
FQHCLA434AWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
FQHCLA434EWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
FQHCLA434FWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311601/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 11:56:15 AM2/12/2025 8:36:06 AM2/12/2025 8:36 AM
AddressesBilling AddressUpdateRecertificationMountain Area Health Education Center, Inc. 125 Hendersonville Road Asheville, NC 28803-2868Mountain Area Health Education Center, Inc. 121 Hendersonville Road Asheville, NC 28803-28681/29/2024 11:56 AM
DetailsLast Recertification DateUpdateRecertification2/1/2023 9:12:24 AM1/29/2024 11:56:15 AM1/29/2024 11:56 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1184605958 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1003172099 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1003815937 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1013526490 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1023107968 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1023173028 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1033486378 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1043275563 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1043476773 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1043585730 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1043625965 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1053308072 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1053416768 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1053641571 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1063022143 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1063846467 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1063979771 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1073915948 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1073955647 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1083935357 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1093189011 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1093852444 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1114094323 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1114125036 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1114365749 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1114915758 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1124232269 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1134514011 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1134787617 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1154416519 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1164418760 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1164525341 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1164730735 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1164868485 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1174028971 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1174061378 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1174063382 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1174594501 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1174915037 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1184709008 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1184829855 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1184910663 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1194045039 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1194130039 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1194939199 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1205031077 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1205070703 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1205862737 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1205898483 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1215271986 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1215476007 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1215934930 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1225392210 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1225491608 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1235517327 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1265494686 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1265517338 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1265537914 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1265886683 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1265977763 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1275845190 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1285855809 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1295011716 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1295122109 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1306188735 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1306941000 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1316496441 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1346344819 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1346759990 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1356402135 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1356797559 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1366708992 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1366742090 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1366778938 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1376505784 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1376607614 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1376855619 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1376995787 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1386783397 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1386993228 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1396765616 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1396821724 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1407925324 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1407970205 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1417144635 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1437241197 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1437417789 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1447243142 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1457465742 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1457580078 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1457655797 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1457754566 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1457947897 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1457988305 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1467517730 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1467560391 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1477163525 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1477931731 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1477949394 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1477966638 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1477999472 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1487609533 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1487615126 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1497018162 (NC) 11/28/2023 5:16 PM
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Medicaid BillingMedicaid: NumberDeleteChange Request1497040711 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1497273023 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1497937783 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1508202821 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1508394495 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1518103001 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1518930734 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1528372679 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1538364203 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1538497268 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1548838907 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1558315853 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1558459958 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1558989285 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1568554202 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1568774636 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1578560652 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1578568465 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1588166243 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1598025124 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1609830918 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1609864446 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1619071172 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1619084407 (NC) 11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1619209459 (NC) 11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
Medicaid BillingMedicaid: NumberInsertChange Request 114480743911/28/2023 5:16 PM
Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingMedicaid: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/28/2023 5:16 PM
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Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 159839381111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 102307938111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 199297784711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 106354316311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 198294041711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 140707425511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 185147325011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 140791606711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 198205941611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 113415216811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 146714387511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 189123717811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 132615096211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 157870649511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 152814260111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 114431260411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 199238279011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 155806382611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 184199270811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 182179018911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 137685702911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 144795286611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 153886266911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 193280195811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 147725565111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 111465912511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 138622219811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 147725733511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 115402590611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 137624739511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 179048762711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 119442887011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 163982927811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 152871811111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 138639368411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 138639366811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 102376722511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 139649459711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 120557644411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 104396973611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 138639494811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 104396021411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 178032450911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 182174850011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 159834133111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 122561245011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 121568758711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 130641462811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 165993522911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 119430277811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 129531211411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 197218010711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 143773633711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 153874671411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 137612289511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 151853206811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 183177618611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 150844324311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 114480743911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 188127114611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 156816482011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 120553906111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 111462949011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 140755011411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 100351999211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 156816535511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 180159899011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 122577600811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 149745771711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 177028501711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 180159967511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 186119586911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 108331643411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 176013131211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 130642360311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 128521517811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 139632257411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 124586753011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 145793847411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 184194040011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 167910090311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 116416259011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 181151827711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 174074066111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 122561522211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 171051425211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 111459638411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 129543728311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 154893820211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 125596853311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 188139877411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 174093938811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 116412404611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 103381148411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 190250822911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 182179014811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 171067375111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 135604545411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 130659636611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 170052691011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 133651511311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 169942511611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 165902124411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 171063618811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 179036329911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 192268521311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 158824153311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 150844319311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 101359431611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 170046365011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 133677799411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 138627176511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 119435274011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 126506932211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 165983176611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 112458827211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 167903483911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 119428671611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 128513003911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 114472697711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 186199818911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 132654353911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 147708713811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 155889525011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 143768514611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 198213818611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 115495805611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 101354407111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 182155054211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 152852801511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 175008386111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 129543823211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 164997302511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 117422546011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 148735724011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 168937770711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 164997350411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 129543746511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 164997281111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 133684176611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 122573286011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 167927647111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 155801130411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 107326360411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 161962622311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 151858839111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 147729366011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 149740595511/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 110456675111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 166912251111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 157821289011/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 181164763911/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 198235453611/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 156811254811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 177016246311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 141753404111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 131652619711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 157814108111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 113470659111/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 103379653711/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 118420118811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 151854461811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 114480826211/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 159834325311/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 137612155811/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
Medicaid BillingNPI: NumberInsertChange Request 117410004411/28/2023 5:16 PM
Medicaid BillingNPI: StateInsertChange Request NC11/28/2023 5:16 PM
AddressesBilling AddressUpdateChange RequestMountain Area Health Education Center, Inc. 121 Hendersonville Rd Asheville, NC 28803-2868Mountain Area Health Education Center, Inc. 125 Hendersonville Road Asheville, NC 28803-28683/30/2023 6:32 AM
AddressesShipping AddressInsertChange Request MAHEC Community Pharmacy at Biltmore 125 Hendersonville Road Asheville, NC 288033/30/2023 6:32 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1013544071 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1013594316 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1033614805 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1144726977 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1154958056 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1194352740 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1265069322 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1285130039 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1326543539 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1336777994 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1386271765 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1508443193 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1588241533 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1700463650 (NC) 2/1/2023 9:12 AM
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Medicaid BillingMedicaid: NumberDeleteRecertification1922685213 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1659021244 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1306596366 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1699425116 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1700526910 (NC) 2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1710636188 (NC) 2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10432755632/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10435392572/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10435857302/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10436259652/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10533080722/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10534167682/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10536415712/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10630221432/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10636306482/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10638464672/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10639797712/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10738565062/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10739159482/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10739556472/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10836709212/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10839012762/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10839353572/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10931009432/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10931103222/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10931890112/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10938524442/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10938792492/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11242322692/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11242430352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11345140112/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11347876172/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11445406672/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11448739852/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11544165192/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11546537232/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11644187602/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11645253412/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11646125942/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11647307352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11648684852/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11740289712/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11740613782/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11740633822/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11745718552/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11747888142/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11749150372/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11846780052/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11847090082/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11848298552/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11849106632/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11941300392/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12050310772/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12050707032/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12058627372/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12058984832/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12150440372/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12254916082/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12558514992/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
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Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12657453272/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12658866832/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12659777632/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12750878922/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12755979652/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12758451902/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12858558092/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12950117162/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12951221092/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12957706182/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12959743352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13061887352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13069410002/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13162079052/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13164964412/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13361074992/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13361376522/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13367167292/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13463448192/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13467599902/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13564021352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13567975592/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13667089922/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13667420902/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13667789382/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13669395142/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13765057842/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13766076142/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13768556192/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13769957872/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13860592022/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13860871122/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13867833972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13869932282/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13967656162/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13968217242/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14073898772/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14079253242/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14079702052/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14170777362/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14171446352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14372411972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14374177892/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14375643742/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14472431422/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14574657422/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14575800782/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14576557972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14576719352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14577545662/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14579478972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14579883052/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14675177302/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14675603912/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14771635252/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14778170132/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14779317312/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14779493942/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14779666382/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14779994722/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14876095332/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14876151262/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14970181622/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14970183292/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14970407112/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14972730232/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14979377832/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15082028212/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15083944952/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15181030012/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15189307342/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15280933172/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15283726792/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15381213062/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15383642032/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15384972682/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15386095652/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15482228702/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15485232102/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15488389072/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15583158532/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15584599582/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15586959812/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15589892852/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15684948622/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15685542022/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15687746362/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15785606522/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15785684652/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15786494712/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15788954472/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15881662432/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15887681622/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15889580032/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15980251242/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16098309182/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16098644462/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16190711722/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16190844072/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16192094592/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16192660042/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16199388262/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16199688642/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16291653452/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16292315502/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16294820472/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16391763162/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16391941862/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16395357682/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16494240112/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16495375642/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16594883282/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16596352252/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16597826622/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16598768782/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16599621652/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16694306092/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16694567522/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16695864422/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16695894042/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16697458082/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16699335292/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16791860192/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16890440182/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16898370232/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16990896152/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16992702982/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16997315392/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16999763992/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17002608822/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17008400222/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17100729132/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17103687332/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17200920422/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17203106912/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17203795142/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17204870932/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17402239652/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17402474362/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17405452272/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17504985152/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17505387242/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17507966862/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17508155282/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17508866362/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17604880762/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17605572502/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17605644212/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17606342652/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17607030942/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17609348972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17701019092/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17800519792/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17901986872/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17902682742/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17909929152/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18011806902/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18012298102/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18012322692/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18018065912/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18019850232/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18019970932/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18110874552/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18112828172/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18113332972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18210595932/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18211376882/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18211911312/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18412541582/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18413716972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18414274322/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18416111592/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18418439922/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18513508212/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18516518972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18517237952/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18614214552/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18617124402/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18617895542/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18618775162/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18618890162/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18716013692/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18819107502/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18819114852/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18918725782/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18919293942/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19020659232/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19020674322/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19029149222/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19120031872/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19129475812/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19129857062/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19222689782/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19224945662/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19225437842/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19423028072/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19424069542/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19523549532/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19523626592/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19526667862/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19624975112/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19626027552/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19628483582/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19629287132/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19727361142/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19728755572/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19729140592/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19821369662/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19826685132/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19826685212/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19829656202/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19921915302/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19927381572/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19928132162/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10537809322/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13760849132/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19529762842/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18610216022/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19024419832/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15788399082/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16890525732/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13666107762/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15780687892/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16192281372/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10033814432/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13869272832/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12252417552/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13462070402/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13468073022/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13666762312/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17901283952/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18212306242/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11742878332/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13567527942/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16191850142/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16799354312/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11449872642/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10738750352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13967569952/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16396124922/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12958231442/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12156097062/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19429618182/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14770139362/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10533170322/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17508319702/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10034803932/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13264922812/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14377581092/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17103936812/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14175822142/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14075952592/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12054372092/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11448469402/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12253487902/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11348590512/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19428576362/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17105648512/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13468519792/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11546163322/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12756385952/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14375452332/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12852502172/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12055615942/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17601006552/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11949547192/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10730150462/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19227362892/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16697186642/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 13768091112/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19520211072/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11342792352/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 19924294502/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16391145152/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11449983862/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 11548584132/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16899170722/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17600917972/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15782713832/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16290205992/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 15388795722/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 17205499422/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 18115102092/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14071406922/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/1/2023 9:12 AM
Medicaid BillingMedicaid: NumberInsertRecertification 16891126412/1/2023 9:12 AM
Medicaid BillingMedicaid: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1013544071 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1013594316 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1033614805 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1144726977 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1154958056 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1194352740 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1265069322 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1285130039 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1326543539 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1336777994 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1386271765 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1508443193 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1588241533 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1700463650 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1790363299 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1922685213 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1659021244 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1306596366 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1699425116 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1700526910 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1710636188 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberDeleteRecertification1336515113 (NC) 2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10031720992/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10038159372/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10135264902/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10231079682/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10231730282/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10334863782/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10432755632/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10434319012/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10434767732/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10435392572/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10435857302/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10436259652/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10533080722/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10534167682/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10536415712/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10630221432/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10636306482/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10638464672/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10639797712/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10738565062/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10739159482/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10739556472/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10836709212/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10839012762/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10839353572/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10931009432/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10931103222/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10931890112/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10938524442/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10938792492/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11140943232/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11141250362/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11143657492/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11149157582/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11242322692/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11242430352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11345140112/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11347876172/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11445406672/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11448739852/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11544165192/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11546537232/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11644187602/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11645253412/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11646125942/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11647307352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11648684852/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11740289712/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11740613782/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11740633822/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11745718552/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11745945012/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11747419202/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11747888142/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11749150372/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11846780052/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11847090082/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11848298552/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11849106632/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11940450392/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11941300392/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11949391992/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12050310772/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12050707032/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12058627372/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12058984832/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12150440372/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12152719862/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12154760072/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12159349302/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12250968522/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12253922102/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12254916082/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12355173272/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12455501852/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12557255522/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12558514992/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12654946862/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12655173382/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12655379142/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12657453272/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12658866832/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12659777632/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12750878922/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12755979652/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12758451902/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12858558092/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12950117162/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12951221092/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12957706182/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12959743352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13061887352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13069410002/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13162079052/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13164964412/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13361074992/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13361376522/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13367167292/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13463448192/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13467599902/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13564021352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13567975592/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13667089922/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13667420902/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13667789382/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13669395142/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13765057842/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13766076142/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13768556192/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13769957872/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13860592022/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13860871122/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13867833972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13869932282/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13967656162/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13968217242/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14073898772/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14079253242/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14079702052/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14170777362/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14171446352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14372411972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14374177892/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14375643742/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14472431422/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14574657422/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14575800782/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14576557972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14576719352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14577545662/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14579478972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14579883052/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14675177302/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14675603912/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14771635252/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14778170132/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14779317312/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14779493942/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14779666382/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14779994722/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14876095332/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14876151262/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14970181622/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14970183292/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14970407112/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14972730232/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14979377832/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15082028212/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15083944952/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15181030012/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15189307342/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15280933172/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15283726792/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15381213062/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15383642032/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15384972682/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15386095652/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15482228702/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15485232102/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15488389072/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15583158532/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15584599582/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15586959812/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15589892852/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15684948622/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15685542022/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15687746362/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15785606522/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15785684652/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15786494712/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15788954472/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15881662432/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15887681622/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15889580032/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15980251242/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16098309182/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16098644462/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16190711722/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16190844072/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16192094592/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16192660042/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16199388262/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16199688642/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16291653452/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16292315502/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16294820472/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16391763162/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16391941862/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16395357682/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16494240112/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16495375642/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16594883282/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16596352252/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16597826622/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16598768782/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16599621652/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16694306092/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16694567522/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16695864422/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16695894042/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16697458082/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16699335292/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16791860192/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16890440182/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16898370232/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16990896152/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16992702982/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16997315392/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16999763992/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17002608822/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17008400222/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17100729132/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17103687332/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17200920422/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17203106912/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17203795142/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17204870932/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17402239652/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17402474362/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17405452272/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17504985152/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17505387242/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17507966862/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17508155282/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17508866362/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17604880762/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17605572502/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17605644212/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17606342652/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17607030942/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17609348972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17701019092/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17800519792/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17901986872/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17902682742/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17909929152/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18011806902/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18012298102/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18012322692/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18018065912/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18019850232/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18019970932/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18110874552/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18112828172/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18113332972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18210595932/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18211376882/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18211911312/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18412541582/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18413716972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18414274322/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18416111592/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18418439922/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18513508212/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18516518972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18617895542/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18618890162/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18716013692/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18919293942/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19020659232/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19020674322/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19029149222/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19120031872/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19129475812/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19129857062/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19222689782/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19224945662/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19225437842/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19423028072/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19424069542/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19523549532/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19523626592/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19526667862/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19624975112/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19626027552/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19628483582/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19629287132/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19727361142/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19728755572/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19729140592/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19821369662/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19826685132/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19921915302/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19927381572/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10537809322/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13760849132/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19529762842/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18610216022/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19024419832/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15788399082/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16890525732/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13666107762/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16192281372/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10033814432/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13869272832/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17901283952/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18212306242/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11449872642/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10738750352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13967569952/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16396124922/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12958231442/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12156097062/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19429618182/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10533170322/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17508319702/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10034803932/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13264922812/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17103936812/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14175822142/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14075952592/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12054372092/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11448469402/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12253487902/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11348590512/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19428576362/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
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Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13468519792/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11546163322/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12756385952/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14375452332/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12852502172/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 12055615942/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17601006552/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11949547192/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 10730150462/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19227362892/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16697186642/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 13768091112/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19520211072/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11342792352/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 19924294502/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16391145152/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11449983862/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 11548584132/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16899170722/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17600917972/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15782713832/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16290205992/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 15388795722/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 17205499422/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 18115102092/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 14071406922/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
Medicaid BillingNPI: NumberInsertRecertification 16891126412/1/2023 9:12 AM
Medicaid BillingNPI: StateInsertRecertification NC2/1/2023 9:12 AM
DetailsLast Recertification DateUpdateRecertification 2/1/2023 9:12:24 AM2/1/2023 9:12 AM
DetailsStateUpdate ApprovedActive10/1/2022 12:01 AM
ContactsSigned ByInsertNew Registration Hathaway, William R CEO Mountain Area Health Education Center, Inc. 82825744058/24/2022 6:49 AM
Details340B IDUpdateNew Registration FQHCLA434G8/24/2022 6:49 AM
DatesParticipating Approval DateUpdateNew Registration 8/24/2022 6:49:28 AM8/24/2022 6:49 AM
DetailsStateUpdateNew RegistrationPendingApproved8/24/2022 6:49 AM
DatesSigned By DateUpdateNew Registration 7/13/2022 2:54:15 PM8/24/2022 6:49 AM
DatesStart DateUpdateNew Registration 10/1/2022 12:00:00 AM8/24/2022 6:49 AM
AddressesMain AddressInsertNew Registration  125 Hendersonville Rd Asheville, NC 28803-28687/12/2022 9:33 AM
AddressesBilling AddressInsertNew Registration Mountain Area Health Education Center, Inc. 121 Hendersonville Rd Asheville, NC 28803-28687/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 10135440717/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 10135943167/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 10336148057/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 11447269777/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 11549580567/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 11846059587/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 11943527407/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 11949217677/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 12650693227/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 12851300397/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 13265435397/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 13367779947/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 13862717657/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 13968562257/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 14170332187/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 15084431937/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 15487936807/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 15882415337/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
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Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 17106361887/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/12/2022 9:33 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 13365151137/12/2022 9:33 AM
Medicaid BillingMedicaid: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 10135440717/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 10135943167/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 10336148057/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 11447269777/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 11549580567/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 11846059587/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 11943527407/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 11949217677/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 12650693227/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 12851300397/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 13265435397/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 13367779947/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 13862717657/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 13968562257/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 14170332187/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 15084431937/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 15487936807/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 15882415337/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 16496159987/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 17004636507/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 17606005487/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 17903632997/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 19226852137/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 16590212447/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 13065963667/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 16994251167/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 17005269107/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 17106361887/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
Medicaid BillingNPI: NumberInsertNew Registration 13365151137/12/2022 9:33 AM
Medicaid BillingNPI: StateInsertNew Registration NC7/12/2022 9:33 AM
ContactsPrimary ContactInsertNew Registration Ransom, Matthew Director of 340B Pharmacy Services Mountain Area Health Education Center (MAHEC 82877134147/12/2022 9:33 AM
ContactsAuthorizing OfficialInsertNew Registration Hathaway, William R CEO Mountain Area Health Education Center, Inc. 82825744057/12/2022 9:33 AM
DetailsAssistance Received From DateInsertNew Registration  7/12/2022 9:33 AM
DetailsAssistance Received To DateInsertNew Registration  7/12/2022 9:33 AM
DetailsLast Recertification DateInsertNew Registration  7/12/2022 9:33 AM
DetailsGrant NumberInsertNew Registration LALCS457887/12/2022 9:33 AM
Details340B IDInsertNew Registration  7/12/2022 9:33 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/12/2022 9:33 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/12/2022 9:33 AM
DetailsMedicare Provider NumberInsertNew Registration  7/12/2022 9:33 AM
DetailsEntity NameInsertNew Registration MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.7/12/2022 9:33 AM
DetailsNOFO NumberInsertNew Registration  7/12/2022 9:33 AM
DetailsProgram CodeInsertNew Registration FQHCLA7/12/2022 9:33 AM
DetailsEntity SubnameInsertNew Registration MAHEC Center for Psychiatry and Mental Wellness7/12/2022 9:33 AM
DatesParticipating Approval DateInsertNew Registration  7/12/2022 9:33 AM
DetailsStateInsertNew Registration Pending7/12/2022 9:33 AM
DatesRegistration DateInsertNew Registration 7/12/2022 9:33:31 AM7/12/2022 9:33 AM
DatesSigned By DateInsertNew Registration  7/12/2022 9:33 AM
DatesStart DateInsertNew Registration  7/12/2022 9:33 AM
TerminationsTermination CommentsInsertNew Registration  7/12/2022 9:33 AM
TerminationsTermination DateInsertNew Registration  7/12/2022 9:33 AM
TerminationsTermination Effective DateInsertNew Registration  7/12/2022 9:33 AM
TerminationsTermination ReasonInsertNew Registration  7/12/2022 9:33 AM