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DSH340061AT UNC Hospitals (Terminated)
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Main Details
Name
UNC Hospitals
Subdivision Name
UNC Hospital Surgery Center at Conner Drive
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061AT
Medicare Provider Number
340061
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/11/2014
Last Recertification Date
8/20/2014
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
Sarah Lee, Pharmacy Clinical Manager
(984) 974-6652
Addresses
Street Address
109 Conner Drive
Chapel Hill, NC 27514
Billing Address
UNC Hospitals
101 Manning Drive
Chapel Hill, NC 27514
Comments
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