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DSH340030P DUKE UNIVERSITY HOSPITAL (Terminated)
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Main Details
Name
DUKE UNIVERSITY HOSPITAL
Subdivision Name
Duke University Medical Center Dialysis Unit
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340030P
Medicare Provider Number
340030
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/15/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/21/2012
Last Recertification Date
11/26/2017
Termination Date
Termination Reason
4/1/2018
Other
Contacts
Authorizing Official
Duke University Health System, Duke University Hospital
Thomas Andrew Owens, Executive Vice President and COO, DUHS, President DUH
(919) 681-6624
Primary Contact
Duke University Hospital
Grayson K. Peek, Manager, Business Development and Integrity
(919) 681-1172
Addresses
Street Address
1306 Morreene Road
Durham, NC 27705
Billing Address
Duke University Hospital
2301 Erwin Road
Durham, NC 27710
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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