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DSH340127 GRANVILLE MEDICAL CENTER (Active)
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Main Details
Name
GRANVILLE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340127
Medicare Provider Number
340127
Additional Details
Current Program Status
Active
Registration Date
4/29/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/29/2008
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Granville Health System
Adam West McConnell, CEO
(919) 690-3402
Primary Contact
Granville Health System
Lynda Wrenn Beasley, Interim Director of Pharmacy
(919) 690-3000 Ext: 3471
Addresses
Street Address
1010 COLLEGE STREET
OXFORD, NC 27565
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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