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RRC340115-29 FIRSTHEALTH MOORE REGIONAL HOSPITAL (Active)
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Main Details
Name
FIRSTHEALTH MOORE REGIONAL HOSPITAL
Subdivision Name
FirstHealth Outpatient Infectious Disease Clinic
Type
Rural Referral Center
Rural
Yes
340B ID
RRC340115-29
Medicare Provider Number
340115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/6/2020
Participating Start Date
4/15/2020
Participating Approval Date
4/9/2020
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
FirstHealth Moore Regional Hospital
Chris Fraley, Vice President, Finance
(910) 715-1894
Primary Contact
FirstHealth Moore Regional Hospital
Drew Kessell, Director, Clinical Pharmacy Services
(910) 715-1105
Addresses
Street Address
35 Memorial Drive
Pinehurst, NC 28374
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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