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RRC340115-09 FIRSTHEALTH MOORE REGIONAL HOSPITAL (Terminated)
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Main Details
Name
FIRSTHEALTH MOORE REGIONAL HOSPITAL
Subdivision Name
FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL
Type
Rural Referral Center
Rural
Yes
340B ID
RRC340115-09
Medicare Provider Number
340115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
12/7/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/9/2010
Last Recertification Date
9/2/2016
Termination Date
Termination Reason
1/1/2017
Site closure
Contacts
Authorizing Official
firsthealth of the carolinas
JEFF CASEY, VICE PRESIDENT OF FINANCE
(910) 715-1561
Primary Contact
FirstHealth Moore Regional Hospital
Wesley Cowell, Administrative Director of Pharmacy
(910) 715-1093
Addresses
Street Address
925 LONG DRIVE
ROCKINGHAM, NC 28379
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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01/12/11 ADDED SHIP TO ADDR.
01/12/2011
May 2025
May 2025
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