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RRC340115-37 FIRSTHEALTH MOORE REGIONAL HOSPITAL (Active)
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Main Details
Name
FIRSTHEALTH MOORE REGIONAL HOSPITAL
Subdivision Name
FirstHealth Hoke Campus Cardio Lab - Cardio Lab
Type
Rural Referral Center
Rural
Yes
340B ID
RRC340115-37
Medicare Provider Number
340115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/24/2024
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
FirstHealth Moore Regional Hospital
Chris Fraley, Vice President, Finance
(910) 715-1894
Primary Contact
FirstHealth Moore Regional Hospital
Drew Kessell, Director, Clinical Pharmacy Services
(910) 715-1105
Addresses
Street Address
6408 Fayetteville Road
Raeford, NC 28376
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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