340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH340028J CAPE FEAR VALLEY MEDICAL CENTER (Terminated)
Print
Main Details
Name
CAPE FEAR VALLEY MEDICAL CENTER
Subdivision Name
Cape Fear Valley Neurosurgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340028J
Medicare Provider Number
340028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/29/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/28/2012
Last Recertification Date
9/7/2022
Termination Date
Termination Reason
4/1/2023
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Cape Fear Valley Health
Bret David Johnson, Vice President and CFO
(910) 615-6378
Primary Contact
Cape Fear Valley Health System
Thomas Nicholson, Director of Pharmacy
(910) 615-6839
Addresses
Street Address
1219 Walter Reed Road
Fayetteville, NC 28304
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session