340B Drug Pricing Program Database
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CH04580D GOSHEN MEDICAL CENTER, INC. (Active)
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Main Details
Name
GOSHEN MEDICAL CENTER, INC.
Subdivision Name
GOSHEN MEDICAL CENTER - WARSAW
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002522
340B ID
CH04580D
Grant Number
H80CS00181
Additional Details
Current Program Status
Active
Registration Date
10/1/2024
Participating Start Date
1/1/2025
Participating Approval Date
12/4/2024
Last Recertification Date
3/10/2025
Contacts
Authorizing Official
Goshen Medical Center, Inc.
Rhonda Barwick, Deputy CEO
(910) 267-1942
Primary Contact
Goshen Medical Center, Inc.
Brittany Parent, 340B Administrative Assistant
(910) 267-0421 Ext: 1348
Addresses
Street Address
603 E. COLLEGE ST
WARSAW, NC 28398-2104
Billing Address
GOSHEN MEDICAL CENTER, INC.
PO BOX 187
FAISON, NC 28341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Start Date: 10/1/2004 Termination Date: 4/1/2020 Reinstatement Date: 1/1/2025
12/04/2024
Start Date: 10/1/2024 Termination Date: 4/1/2020 Reinstatement Date: 1/1/2025
12/04/2024
NEW SITE 10/01/2004
08/12/2005
May 2025
May 2025
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