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DSH340061J UNC Hospitals (Terminated)
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Main Details
Name
UNC Hospitals
Subdivision Name
Physical Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061J
Medicare Provider Number
340061
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/11/2013
Last Recertification Date
8/20/2014
Termination Date
Termination Reason
10/1/2015
Loss of qualifying grant/support
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
Sarah Lee, Pharmacy Clinical Manager
(984) 974-6652
Addresses
Street Address
100 Sprunt Street
Chapel Hill, NC 27517
Billing Address
UNC Hospitals
101 Manning Drive
Chapel Hill, NC 27514
Comments
Medicaid Billing
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Contract Pharmacies
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