340B Drug Pricing Program Database
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CH04580AH Goshen Medical Center, Inc. (Terminated)
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Main Details
Name
Goshen Medical Center, Inc.
Subdivision Name
GOSHEN MEDICAL CENTER - COLUMBUS PEDIATRICS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021538
340B ID
CH04580AH
Grant Number
H80CS00181
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/7/2018
Last Recertification Date
1/30/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Goshen Medical Center Inc.
Mollianne Kennedy Raynor, PharmacyDirector
(910) 718-5200
Primary Contact
Goshen Medical Center, Inc.
Brooke Cottle Hall, Pharmacy Program Manager
(910) 267-0421 Ext: 1139
Addresses
Street Address
800 Jefferson St Ste 116
Whiteville, NC 28472-3702
Billing Address
Goshen Medical Center, Inc.
PO Box 187
Faison, NC 28341-0187
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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