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RRC340023-00 ADVENTHEALTH HENDERSONVILLE (Terminated)
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Main Details
Name
ADVENTHEALTH HENDERSONVILLE
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC340023-00
Medicare Provider Number
340023
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/22/2024
Last Recertification Date
9/19/2024
Termination Date
Termination Reason
4/1/2025
Change of covered entity type
Contacts
Authorizing Official
AdventHealth Hendersonville
Steven Burroughs, VP of Finance / CFO
(828) 681-2102
Primary Contact
Adventhealth
Rafael Kirkpatrick, SE Region 340B Coordinator
(956) 466-8487
Addresses
Street Address
100 HOSPITAL DRIVE
HENDERSONVILLE, NC 28792
Billing Address
AdventHealth Hendersonville
c/o AdventHealth
902 Inspiration Ave.
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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