340B Drug Pricing Program Database


DSH340040Z PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER (Active) - information as of 5/4/2025 10:19:58 PM

Main Details
PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER
ECU Health Beaufort Hospital - Radiology-Diagnostic
Disproportionate Share Hospital
No
DSH340040Z
340040


Additional Details
Active
5/4/2023
7/1/2023
5/11/2023
9/6/2024

Contacts

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

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

Addresses

628 E 12TH ST
Washington, NC 27889

ECU Health
PO Box 6028
Greenville, NC 27835-6028


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

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

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH340040AChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERPain Management Anesthesiology Section2010 W. Arlington Blvd.GreenvilleNCActive
DSH340040AAChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Pulmonary Rehab628 E 12TH STWashingtonNCActive
DSH340040ABChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Respiratory Care628 E 12TH STWashingtonNCActive
DSH340040ACChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Sleep Center628 E 12TH STWashingtonNCActive
DSH340040ADChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Post Anesthesia Care Unit628 E 12TH STWashingtonNCActive
DSH340040AEChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Labor and Delivery628 E 12TH STWashingtonNCActive
DSH340040AFChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Laboratory628 E 12TH STWashingtonNCActive
DSH340040AGChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Medical Center - Gastroenterology (Testing) - GI Motility and Pulmonary Function Testing2264 Stantonsburg RoadGreenvilleNCActive
DSH340040AHChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Infusion - Kinston - Kinston Infusion Clinic2100 Stantonsburg RoadGreenvilleNCActive
DSH340040BChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERRehab-General Outpatient Outreach2610 Stantonsburg Road, Suite AGreenvilleNCActive
DSH340040CChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERMed Direct2380 Arlington Blvd.GreenvilleNCTerminated
DSH340040DChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Wound Healing Center - Greenville - Wound Care3900 East 10th StGreenvilleNCActive
DSH340040EChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Ultrasound628 E 12TH STWashingtonNCActive
DSH340040FChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Vascular/Intervention628 E 12TH STWashingtonNCActive
DSH340040GChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-CT Scanning628 E 12TH STWashingtonNCActive
DSH340040HChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-MRI628 E 12TH STWashingtonNCActive
DSH340040JChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Speech Language Pathology628 E 12TH STWashingtonNCActive
DSH340040KChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU HEALTH PATIENT TESTING CENTER - Patient Testing-ECUH Medical Center626 MEDICAL DRGREENVILLENCActive
DSH340040LChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Sleep Center - Sleep Center-ECUH Medical Center650 Medical DriveGreenvilleNCActive
DSH340040MChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Operating Room628 E 12TH STWashingtonNCActive
DSH340040NChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Nuclear Medicine628 E 12TH STWashingtonNCActive
DSH340040PChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Physical Therapy628 E 12TH STWashingtonNCActive
DSH340040QChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Occupational Therapy628 E 12TH STWashingtonNCActive
DSH340040RChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Echocardiology628 E 12TH STWashingtonNCActive
DSH340040SChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERdba ECU Health Beaufort Hospital - Anesthesiology-ECUH Beaufort Campus628 E 12TH STWashingtonNCActive
DSH340040TChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - EKG628 E 12TH STWashingtonNCActive
DSH340040UChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Operating Room (BFT)628 E 12TH STWashingtonNCActive
DSH340040VChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - CVP Rehab628 E 12TH STWashingtonNCActive
DSH340040WChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiation Oncology628 E 12TH STWashingtonNCActive
DSH340040XChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Emergency Department628 E 12TH STWashingtonNCActive
DSH340040YChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERMARION L SHEPARD CANCER CENTER - ECU Health Beaufort Hospital Oncology1209 BROWN STWASHINGTONNCActive
DSH340040ZChildDSHPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTERECU Health Beaufort Hospital - Radiology-Diagnostic628 E 12TH STWashingtonNCActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberInsertGroup Change Request 104321894412/13/2024 10:07 AM
Medicaid BillingNPI: StateInsertGroup Change Request MN12/13/2024 10:07 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 178035968712/13/2024 10:07 AM
Medicaid BillingNPI: StateInsertGroup Change Request MN12/13/2024 10:07 AM
Medicaid BillingNPI: NumberInsertRecertification 10432189449/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification AZ9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 17803596879/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification AZ9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 10432189449/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification ME9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 17803596879/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification ME9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 10432189449/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification NE9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 17803596879/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification NE9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 10432189449/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification NM9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 17803596879/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification NM9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 10432189449/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification OK9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 17803596879/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification OK9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 10432189449/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification UT9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 17803596879/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification UT9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 10432189449/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification WI9/6/2024 10:10 AM
Medicaid BillingNPI: NumberInsertRecertification 17803596879/6/2024 10:10 AM
Medicaid BillingNPI: StateInsertRecertification WI9/6/2024 10:10 AM
DetailsLast Recertification DateUpdateRecertification8/30/2023 10:49:57 AM9/6/2024 10:10:08 AM9/6/2024 10:10 AM
ContactsAuthorizing OfficialUpdateChange RequestFloyd, Brian President ECU Health 2528475949Briley, Jay President ECU Health Medical Center 25284750147/30/2024 12:23 PM
DetailsLast Recertification DateUpdateRecertification 8/30/2023 10:49:57 AM8/30/2023 10:49 AM
DetailsStateUpdate ApprovedActive7/1/2023 12:01 AM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False6/14/2023 3:04 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 12954581316/14/2023 3:04 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request NC6/14/2023 3:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 12954581316/14/2023 3:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request NC6/14/2023 3:04 PM
ContactsSigned ByInsertNew Registration Floyd, Brian President ECU Health 25284759495/11/2023 7:57 AM
Details340B IDUpdateNew Registration DSH340040Z5/11/2023 7:57 AM
DetailsEntity NameUpdateNew RegistrationPITT COUNTY MEMORIAL HOSPITALPITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER5/11/2023 7:57 AM
DetailsEntity SubnameUpdateNew RegistrationECU Health Beaufort HospitalECU Health Beaufort Hospital - Radiology-Diagnostic5/11/2023 7:57 AM
DatesParticipating Approval DateUpdateNew Registration 5/11/2023 7:57:46 AM5/11/2023 7:57 AM
DetailsStateUpdateNew RegistrationPendingApproved5/11/2023 7:57 AM
DatesSigned By DateUpdateNew Registration 5/5/2023 10:33:32 AM5/11/2023 7:57 AM
DatesStart DateUpdateNew Registration 7/1/2023 12:00:00 AM5/11/2023 7:57 AM
AddressesMain AddressInsertNew Registration  628 E 12TH ST Washington, NC 278895/4/2023 1:41 PM
AddressesBilling AddressInsertNew Registration ECU Health PO Box 6028 Greenville, NC 27835-60285/4/2023 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False5/4/2023 1:41 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False5/4/2023 1:41 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 12851982835/4/2023 1:41 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False5/4/2023 1:41 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 15982723795/4/2023 1:41 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False5/4/2023 1:41 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingMedicaid: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 12851982835/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 15982723795/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration AR5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration AR5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration CA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration CA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration CO5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration CO5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration CT5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration CT5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration DC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration DC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration FL5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration FL5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration GA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration GA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration KY5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration KY5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MD5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MD5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MI5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MI5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MO5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MO5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MT5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration MT5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NJ5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NJ5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NV5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NV5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NY5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NY5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration OH5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration OH5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration PA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration PA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration SC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration SC5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration TN5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration TN5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration VA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration VA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration WV5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration WV5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration AL5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration AL5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration IL5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration IL5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration IN5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration IN5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration LA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration LA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration TX5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration TX5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration DE5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration DE5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration VT5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration VT5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NH5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration NH5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 10432189445/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration WA5/4/2023 1:41 PM
Medicaid BillingNPI: NumberInsertNew Registration 17803596875/4/2023 1:41 PM
Medicaid BillingNPI: StateInsertNew Registration WA5/4/2023 1:41 PM
ContactsPrimary ContactInsertNew Registration Aldrich, Natascha Pharmacy 340B Compliance Manager ECU Health 25284737285/4/2023 1:41 PM
ContactsAuthorizing OfficialInsertNew Registration Floyd, Brian President ECU Health 25284759495/4/2023 1:41 PM
DetailsAssistance Received From DateInsertNew Registration  5/4/2023 1:41 PM
DetailsAssistance Received To DateInsertNew Registration  5/4/2023 1:41 PM
DetailsLast Recertification DateInsertNew Registration  5/4/2023 1:41 PM
DetailsGrant NumberInsertNew Registration  5/4/2023 1:41 PM
Details340B IDInsertNew Registration  5/4/2023 1:41 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  5/4/2023 1:41 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  5/4/2023 1:41 PM
DetailsMedicare Provider NumberInsertNew Registration 3400405/4/2023 1:41 PM
DetailsEntity NameInsertNew Registration PITT COUNTY MEMORIAL HOSPITAL5/4/2023 1:41 PM
DetailsNOFO NumberInsertNew Registration  5/4/2023 1:41 PM
DetailsProgram CodeInsertNew Registration DSH5/4/2023 1:41 PM
DetailsEntity SubnameInsertNew Registration ECU Health Beaufort Hospital5/4/2023 1:41 PM
DatesParticipating Approval DateInsertNew Registration  5/4/2023 1:41 PM
DetailsStateInsertNew Registration Pending5/4/2023 1:41 PM
DatesRegistration DateInsertNew Registration 5/4/2023 1:41:50 PM5/4/2023 1:41 PM
DatesSigned By DateInsertNew Registration  5/4/2023 1:41 PM
DatesStart DateInsertNew Registration  5/4/2023 1:41 PM
TerminationsTermination CommentsInsertNew Registration  5/4/2023 1:41 PM
TerminationsTermination DateInsertNew Registration  5/4/2023 1:41 PM
TerminationsTermination Effective DateInsertNew Registration  5/4/2023 1:41 PM
TerminationsTermination ReasonInsertNew Registration  5/4/2023 1:41 PM