340B Drug Pricing Program Database
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DSH340047 NORTH CAROLINA BAPTIST HOSPITAL (Active)
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Main Details
Name
NORTH CAROLINA BAPTIST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340047
Medicare Provider Number
340047
Additional Details
Current Program Status
Active
Registration Date
10/30/2007
Participating Start Date
4/1/1998
Participating Approval Date
10/30/2007
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
North Carolina Baptist Hospital
Michael Thomas Waid, Sr Vice President - Health System Operations and Integration
(336) 716-0433
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
MEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC 27157
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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