340B Drug Pricing Program Database
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DSH340021 ATRIUM HEALTH CLEVELAND (Active)
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Main Details
Name
ATRIUM HEALTH CLEVELAND
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340021
Medicare Provider Number
340021
Additional Details
Current Program Status
Active
Registration Date
7/14/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/22/2022
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
201 EAST GROVER STREET
SHELBY, NC 28150
Billing Address
Atrium Health Accounts Payable
PO Box 516
Elmsford, NY 10523-5379
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (07/1/2009) until terminated effective date: (07/1/2021), reinstatement effective date: (10/1/2022)
08/19/2022
May 2025
May 2025
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