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DSH340091BD 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 Cancer Center at Wesley Long / Radiation Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340091BD
Medicare Provider Number
340091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/10/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/25/2017
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
2400 W. Friendly Ave
Greensboro, NC 27403
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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