340B Drug Pricing Program Database
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DSH340061AW UNC Hospitals (Terminated)
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Main Details
Name
UNC Hospitals
Subdivision Name
UNC Hospitals Rehabilitation Therapies – Occupational Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061AW
Medicare Provider Number
340061
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/10/2015
Last Recertification Date
8/21/2018
Termination Date
Termination Reason
1/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
UNC Hospitals
Jami Mann, Clinical Manager, Administrative Services
(984) 974-0085
Addresses
Street Address
1807 N. Fordham Boulevard
Chapel Hill, NC 27514
Billing Address
UNC Hospital Pharmacy
4400 Emperor Blvd
Durham, NC 27703
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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