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RRC340023-39 ADVENTHEALTH HENDERSONVILLE (Terminated)
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Main Details
Name
ADVENTHEALTH HENDERSONVILLE
Subdivision Name
AdventHealth Hematology Oncology Infusion Services Asheville - Infusion
Type
Rural Referral Center
Rural
No
340B ID
RRC340023-39
Medicare Provider Number
340023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/10/2024
Last Recertification Date
8/16/2024
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 Hendersonville
Larry D Phillips, Director Supply Chain and 340B Pharmacy
(828) 681-2720
Addresses
Street Address
20 Medical Park Drive
Suite B
Asheville, NC 28803
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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May 2025
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