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HM28210 The Charlotte Mecklenburg Hospital Authority (Active)
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Main Details
Name
The Charlotte Mecklenburg Hospital Authority
Subdivision Name
Hemophilia Treatment Center of Levine Cancer Institute and Levine Children's (Outreach Clinic)
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM28210
Grant Number
H30MC240460701
Additional Details
Current Program Status
Active
Registration Date
4/12/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/5/2023
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
Atrium Health
Mary Ann Knovich, Medical Director of HTC of Levine Cancer Institute
(980) 442-4363
Primary Contact
Atrium Health
Lynn S Sanders, Administrative Director
(980) 442-2146
Addresses
Street Address
10660 Park Road
Suite 2100
Charlotte, NC 28210
Billing Address
Charlotte Mecklenburg Hospital Authority dba HTC of LCI and LC (Adult HTC)
1021 Morehead Medical Dr
50100
Charlotte, NC 28204
Comments
Medicaid Billing
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