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DSH340040C PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER (Terminated)
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Main Details
Name
PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER
Subdivision Name
Med Direct
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340040C
Medicare Provider Number
340040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/16/2013
Last Recertification Date
8/31/2021
Termination Date
Termination Reason
7/1/2022
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
ECU Health
Brian Floyd, PRESIDENT
(252) 847-5949
Primary Contact
ECU Health Medical Center
Natascha Rowland, Pharmacy 340B Compliance Manager
(252) 847-3728
Addresses
Street Address
2380 Arlington Blvd.
Greenville, NC 27834
Billing Address
VIDANT HEALTH ACCOUNTS PAYABLE
PO BOX 6028
GREENVILLE, NC 27835
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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