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DSH340061BF UNIVERSITY OF NORTH CAROLINA HOSP. (Terminated)
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Main Details
Name
UNIVERSITY OF NORTH CAROLINA HOSP.
Subdivision Name
UNC HOSPITALS AMBULATORY SURGERY CE / ACC Ultrasound
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061BF
Medicare Provider Number
340061
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/12/2015
Last Recertification Date
8/19/2015
Termination Date
Termination Reason
1/1/2016
Site closure
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
UNC Hospitals
Alexandra Williams, 340B Program Manager
(984) 974-6678
Addresses
Street Address
102 MASON FARM RD
CHAPEL HILL, NC 27599-6134
Billing Address
UNC Hospitals
101 Manning Drive
Chapel Hill, NC 27514
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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