340B Drug Pricing Program Database
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DSH340113CX CAROLINAS MEDICAL CENTER (ToBeTerminated)
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Main Details
Name
CAROLINAS MEDICAL CENTER
Subdivision Name
Levine Cancer Institute - Endocrine Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340113CX
Medicare Provider Number
340113
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
10/8/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/21/2020
Last Recertification Date
9/4/2024
Termination Date
Termination Reason
7/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Primary Contact
Atrium Health
Fern Paul-Aviles, AVP, Pharmacy
(704) 649-9691
Addresses
Street Address
10660 Park Road
Suite 1100A
Charlotte, NC 28210-8420
Billing Address
Atrium Health Accounts Payable
PO Box 516
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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