340B Drug Pricing Program Database
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DSH340151 Halifax Regional Medical Center, Inc. d/b/a ECU Health North Hospital (Active)
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Main Details
Name
Halifax Regional Medical Center, Inc. d/b/a ECU Health North Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340151
Medicare Provider Number
340151
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
8/22/2024
Contacts
Authorizing Official
ECU Health North Hospital
Ryan Todd Hickey, President
(252) 535-8159
Primary Contact
ECU Health North Hospital
Amy Bennett, Pharmacy Manager
(252) 535-8274
Addresses
Street Address
250 SMITH CHURCH ROAD
ROANOKE RAPIDS, NC 27870
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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