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DSH340091I THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION (Terminated)
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Main Details
Name
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Subdivision Name
NUTRITION AND DIABETES EDUCATION SERVICES AT GREENSBORO
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340091I
Medicare Provider Number
340091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/2/2006
Participating Start Date
4/1/2006
Participating Approval Date
3/2/2006
Last Recertification Date
8/31/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Cone Health
Jeffrey Jones, Executive VP and CFO
(336) 832-8005
Primary Contact
Cone Health
Alex Kidd, Pharmacy Business Manager
(336) 890-3625
Addresses
Street Address
301 E. WENDOVER AVENUE, SUITE 415
GREENSBORO, NC 27401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/30/09 UPDATED ADDR (WAS 409-C PARKWAY DRIVE)
03/02/2006
May 2025
May 2025
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Custom
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