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DSH340091AH THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION (Terminated)
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Main Details
Name
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Subdivision Name
Center For Women's Healthcare at Elam Avenue
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340091AH
Medicare Provider Number
340091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
9/10/2020
Termination Date
Termination Reason
7/1/2021
Change of covered entity type (non-hospital)
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
520 North Elam Avenue
2nd Floor
Suite A
Greensboro, NC 27403
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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