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RRC340115-01 FIRSTHEALTH MOORE REGIONAL HOSPITAL (Active)
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Main Details
Name
FIRSTHEALTH MOORE REGIONAL HOSPITAL
Subdivision Name
FirstHealth Pinehurst Cancer Center-Medical Oncology
Type
Rural Referral Center
Rural
Yes
340B ID
RRC340115-01
Medicare Provider Number
340115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
12/1/2010
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
135 PAGE ROAD NORTH
PINEHURST, NC 28374
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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