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CAH341327-00 J ARTHUR DOSHER MEMORIAL HOSPITAL (Active)
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Main Details
Name
J ARTHUR DOSHER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341327-00
Medicare Provider Number
341327
Additional Details
Current Program Status
Active
Registration Date
5/24/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/16/2011
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
J ARTHUR DOSHER MEMORIAL HOSPITAL
KELLIE VELEZ, CONTROLLER
(910) 457-3815
Primary Contact
J ARTHUR DOSHER MEMORIAL HOSPITAL
ED TUSA, CFO
(910) 454-4728
Addresses
Street Address
924 N HOWE ST
SOUTHPORT, NC 28461
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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