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RRC340115-00 FIRSTHEALTH MOORE REGIONAL HOSPITAL (Active)
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Main Details
Name
FIRSTHEALTH MOORE REGIONAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC340115-00
Medicare Provider Number
340115
Additional Details
Current Program Status
Active
Registration Date
11/23/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/9/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
FirstHealth Moore Regional Hospital
Chris Fraley, Vice President, Finance
(910) 715-1894
Primary Contact
FirstHealth Moore Regional Hospital
Wesley Cowell, Administrative Director of Pharmacy
(910) 715-1093
Addresses
Street Address
155 MEMORIAL DRIVE
PINEHURST, NC 28374
Billing Address
FIRST HLTH OF THE CAROLINAS, DBA/MOORE REGIONAL HOSPITAL
155 MEMORIAL DRIVE
PO BOX 3000
PINEHURST, NC 28374
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/12/12 remove medicaid number
03/12/2012
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