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CAH341324-03 OUTER BANKS HEALTH HOSPITAL DBA (Active)
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Main Details
Name
OUTER BANKS HEALTH HOSPITAL DBA
Subdivision Name
Outer Banks Health-Oncology II - Outpatient Infusion-Non Chemo
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341324-03
Medicare Provider Number
341324
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/16/2024
Last Recertification Date
Contacts
Authorizing Official
ECU Health
Todd Jeffrey Warlitner, Vice President of Finance
(252) 449-4514
Primary Contact
Outer Banks Health
Kelly B Short, Pharmacy Director
(252) 449-4575
Addresses
Street Address
4917 South Croatan Highway
Nags Head, NC 27959
Billing Address
Outer Banks Health
4800 S Croatan Highway
Nags Head, NC 27959
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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