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RRC340115-15 FIRSTHEALTH MOORE REGIONAL HOSPITAL (Terminated)
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Main Details
Name
FIRSTHEALTH MOORE REGIONAL HOSPITAL
Subdivision Name
RMH Pediatrics
Type
Rural Referral Center
Rural
Yes
340B ID
RRC340115-15
Medicare Provider Number
340115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/27/2014
Last Recertification Date
8/24/2022
Termination Date
Termination Reason
7/1/2023
Other
Contacts
Authorizing Official
firsthealth of the carolinas
JEFF CASEY, VICE PRESIDENT OF FINANCE
(910) 715-1561
Primary Contact
FirstHealth of the Carolinas
Amie Smith, 340B Compliance Specialist
(910) 715-1051
Addresses
Street Address
925 S. LONG DRIVE
ROCKINGHAM, NC 28379
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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