340B Drug Pricing Program Database
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DSH340053F Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center (Terminated)
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Main Details
Name
Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center
Subdivision Name
Novant Health Heart & Vascular Institute (Heart Failure Clinic)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340053F
Medicare Provider Number
340053
Outpatient Facility Provider Number
340053
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/13/2013
Last Recertification Date
8/31/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Novant Health
Geoffrey Gardner, SVP Finance
(336) 718-2078
Primary Contact
Novant Health
Elizabeth Anne Corazzo, Manager Pharmacy 340B
(336) 277-0301
Addresses
Street Address
1718 East 4th Street
Suite 501
Charlotte, NC 28204-3197
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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