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DSH340091U 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
Cone Health Outpatient Rehab Center at Brassfield
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340091U
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
8/31/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
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
3800 Robert Porcher Way
Suite 400
Greensboro, NC 27410
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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