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DSH340071C HARNETT HEALTH SYSTEM, INC. (Active)
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Main Details
Name
HARNETT HEALTH SYSTEM, INC.
Subdivision Name
Wound Care Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340071C
Medicare Provider Number
340071
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/7/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/29/2014
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Harnett Health System
Michael Tart, President
(910) 766-7102
Primary Contact
Harnett Health System
Amy Pope, Pharmacy Manager
(910) 766-7074
Addresses
Street Address
803 Tilghman Drive
Suite 300
Dunn, NC 28334
Billing Address
Harnett Health System
800 Tilghman Drive
PO Box 1706
Dunn, NC 28335
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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