340B Drug Pricing Program Database
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DSH340028 CAPE FEAR VALLEY MEDICAL CENTER (Active)
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Main Details
Name
CAPE FEAR VALLEY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340028
Medicare Provider Number
340028
Additional Details
Current Program Status
Active
Registration Date
4/17/2006
Participating Start Date
10/1/1999
Participating Approval Date
4/17/2006
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Cape Fear Valley Health
Bret David Johnson, Vice President and CFO
(910) 615-6378
Primary Contact
Cape Fear Valley Health System
Thomas Nicholson, Director of Pharmacy
(910) 615-6839
Addresses
Street Address
1638 OWEN DRIVE
FAYETTEVILLE, NC 28304
Billing Address
Cape Fear Valley Medical Center
1638 Owen Drive
Fayetteville, NC 28304
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/17/09 ADDED SHIPPING ADDR; 4/17/06 - REPLACES DSH1260
09/17/2009
12/21/11 UPDATED ZIP FOR MAIN ADD (WAS 28302); 9/17/09 ADDED SHIPPING ADDR; 4/17/06 - REPLACES DSH1260
04/17/2006
April 2025
April 2025
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