340B Drug Pricing Program Database
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DSH340061T UNC Hospitals (Terminated)
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Main Details
Name
UNC Hospitals
Subdivision Name
UNC Hospitals Imaging Center – Diagnostic X-ray
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061T
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
8/31/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
UNC Health
Jordan Rush, Director of 340B Programs
(984) 215-5892
Addresses
Street Address
1350 Raleigh Rd
1st floor
Chapel Hill, NC 27517
Billing Address
UNC Hospitals Pharmacy
4400 Emperor Blvd
Suite 100
Durham, NC 27703
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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