340B Drug Pricing Program Database
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DSH340061BQ UNC Hospitals (Terminated)
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Main Details
Name
UNC Hospitals
Subdivision Name
UNC HOSPITALS FAMILY MEDICINE CENTER - Radiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061BQ
Medicare Provider Number
340061
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/9/2016
Last Recertification Date
9/17/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
UNC Health
Jordan Rush, Director of 340B Programs
(984) 215-5892
Addresses
Street Address
590 MANNING DRIVE
ROOM 184
CHAPEL HILL, NC 27599-6119
Billing Address
UNC Hospitals Pharmacy
4400 Emperor Blvd
Suite 100
Durham, NC 27703
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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