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DSH340040AG PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER (Active)
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Main Details
Name
PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER
Subdivision Name
ECU Health Medical Center - Gastroenterology (Testing) - GI Motility and Pulmonary Function Testing
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340040AG
Medicare Provider Number
340040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/21/2024
Last Recertification Date
Contacts
Authorizing Official
ECU Health Medical Center
Jay Briley, President
(252) 847-5014
Primary Contact
ECU Health
Natascha Aldrich, Pharmacy 340B Compliance Manager
(252) 847-3728
Addresses
Street Address
2264 Stantonsburg Road
Greenville, NC 27834
Billing Address
ECU HEALTH ACCOUNTS PAYABLE
PO BOX 6028
GREENVILLE, NC 27835-6028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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