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CAH341324-00 OUTER BANKS HEALTH HOSPITAL DBA (Active)
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Main Details
Name
OUTER BANKS HEALTH HOSPITAL DBA
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341324-00
Medicare Provider Number
341324
Additional Details
Current Program Status
Active
Registration Date
7/12/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
ECU Health
Todd Jeffrey Warlitner, Vice President of Finance
(252) 449-4514
Primary Contact
Outer Banks Health
Kelly B Short, Pharmacy Director
(252) 449-4575
Addresses
Street Address
4800 S. CROATAN HWY
NAGS HEAD, NC 27959
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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