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DSH340091V The Moses H Cone Memorial Hospital Operating Corporation (Terminated)
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Main Details
Name
The Moses H Cone Memorial Hospital Operating Corporation
Subdivision Name
Outpatient Rehabilitation Center at Guilford College
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340091V
Medicare Provider Number
340091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/9/2013
Last Recertification Date
8/12/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Cone Health
Jeffrey Jones, Executive VP and CFO
(336) 832-8005
Primary Contact
Cone Health
Alex Kidd, Pharmacy Business Manager
(336) 890-3625
Addresses
Street Address
603 Dolley Madison Road
Suite 202
Greensboro, NC 27410
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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