340B Drug Pricing Program Database
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DSH340145B Atrium Health Lincoln (Terminated)
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Main Details
Name
Atrium Health Lincoln
Subdivision Name
Atrium Health Pain Management, a facility of Atrium Health Lincoln
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340145B
Medicare Provider Number
340145
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/13/2013
Last Recertification Date
9/14/2020
Termination Date
Termination Reason
10/1/2021
DSH percentage below statutory minimum
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Primary Contact
Atrium Health
Fern Paul-Aviles, AVP, Pharmacy
(704) 649-9691
Addresses
Street Address
1585 Forney Creek Parkway
Suite 1200
Denver, NC 28037
Billing Address
Atrium Health Accounts Payable
PO Box 5379
Portland, OR 97228-5379
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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