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DSH340091AG THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION (Active)
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Main Details
Name
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Subdivision Name
CONE HEALTH SPORTS MEDICINE AT MEDCENTER HIGH POINT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340091AG
Medicare Provider Number
340091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Cone Health
Andrew Barrow, Chief Financial Officer
(336) 832-7825
Primary Contact
Cone Health
Alex Kidd, Pharmacy Business Manager
(336) 890-3625
Addresses
Street Address
2630 WILLARD DAIRY ROAD
SUITE 203
HIGH POINT, NC 27265-8354
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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