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DSH340090 Johnston Health Services Corporation (Active)
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Main Details
Name
Johnston Health Services Corporation
Subdivision Name
Johnston Memorial Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340090
Medicare Provider Number
340090
Additional Details
Current Program Status
Active
Registration Date
4/23/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/23/2008
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Johnston Health Services Corporation
Ruth L Marler, COO/CNO
(919) 938-7383
Primary Contact
Johnston Health Services Corporation
David Willoughby, Director of Pharmacy Services
(919) 938-7288
Addresses
Street Address
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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