340B Drug Pricing Program Database
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DSH340113CZ CAROLINAS MEDICAL CENTER (ToBeTerminated)
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Main Details
Name
CAROLINAS MEDICAL CENTER
Subdivision Name
Atrium Health General & Complex Abdominal Surgery - CMC Trauma Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340113CZ
Medicare Provider Number
340113
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
10/14/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/3/2021
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
1025 Morehead Medical Drive
Suite 300
Charlotte, NC 28204
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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