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DSH340071 HARNETT HEALTH SYSTEM, INC. (Active)
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Main Details
Name
HARNETT HEALTH SYSTEM, INC.
Subdivision Name
BETSY JOHNSON REGIONAL HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340071
Medicare Provider Number
340071
Additional Details
Current Program Status
Active
Registration Date
4/22/2008
Participating Start Date
10/1/2013
Participating Approval Date
9/15/2013
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Harnett Health System
Michael Tart, President
(910) 766-7102
Primary Contact
Harnett Health System
Amy Pope, Pharmacy Manager
(910) 766-7074
Addresses
Street Address
800 TILGHMAN DRIVE
DUNN, NC 28334
Billing Address
Harnett Health System
800 Tilghman Drive
PO Box 1706
Dunn, NC 28335
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/15/13 Enrolled 7/1/2008 and terminated 7/1/2013 at entity request. Ineligible from 7/1/2013 through 9/30/2013; reinstated effective 10/1/2013. 3/23/12 UPDATED ENTITY NAME (WAS BETSY JOHNSON REGIONAL HOSPITAL)
09/15/2013
4/9/13 - Per request of entity to terminate site from program participation. 3/23/12 UPDATED ENTITY NAME (WAS BETSY JOHNSON REGIONAL HOSPITAL)
04/09/2013
3/23/12 UPDATED ENTITY NAME (WAS BETSY JOHNSON REGIONAL HOSPITAL)
03/23/2012
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