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DSH340113 CAROLINAS MEDICAL CENTER (Active)
Main Details
Name
CAROLINAS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340113
Medicare Provider Number
340113
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, Chief Pharmacy Officer
(704) 512-7623
Primary Contact
Atrium Health
Fern Paul-Aviles, AVP, Pharmacy
(704) 649-9691
Additional Details
Current Program Status
Active
Registration Date
3/1/2008
Participating Start Date
8/1/1993
Participating Approval Date
3/1/2008
Last Recertification Date
9/6/2023
Addresses
Street Address
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Billing Address
Atrium Health Accounts Payable
PO Box 516
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/22/12 Added NPI #; 03/01/2012 ADDRESS 1350 SOUTH KINGS DRIVE MOVED TO CHILD ID (DSH340113D)
03/22/2012
03/01/2012 ADDRESS 1350 SOUTH KINGS DRIVE MOVED TO CHILD ID (DSH340113D)
03/01/2012
May 2024
May 2024
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