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RRC340115-31 FIRSTHEALTH MOORE REGIONAL HOSPITAL (Active)
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Main Details
Name
FIRSTHEALTH MOORE REGIONAL HOSPITAL
Subdivision Name
FirstHealth Outpatient Neurology Clinic
Type
Rural Referral Center
Rural
Yes
340B ID
RRC340115-31
Medicare Provider Number
340115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/2/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/5/2023
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
FirstHealth Moore Regional Hospital
Chris Fraley, Vice President, Finance
(910) 715-1894
Primary Contact
FirstHealth of the Carolinas
Amie Smith, 340B Compliance Specialist
(910) 715-1051
Addresses
Street Address
220 PAGE ROAD NORTH
SUITE 400
PINEHURST, NC 28374
Billing Address
FIRSTHEALTH OF THE CAROLINAS
155 MEMORIAL DRIVE
PINEHURST, NC 28374
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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