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CAH341318-00 East Carolina Health-Chowan, Inc. d/b/a ECU Health Chowan Hospital (Active)
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Main Details
Name
East Carolina Health-Chowan, Inc. d/b/a ECU Health Chowan Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341318-00
Medicare Provider Number
341318
Additional Details
Current Program Status
Active
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
ECU Health
Todd Jeffrey Warlitner, Vice President of Finance
(252) 449-4514
Primary Contact
ECU Health
Shelli Ambrose Simmons, Pharmacy Manager
(252) 482-6202
Addresses
Street Address
211 VIRGINIA Road
EDENTON, NC 27932
Billing Address
ECU Health Accounts Payable
PO Box 6028
Greenville, NC 27835-6028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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