340B Drug Pricing Program Database
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DSH340113DH CAROLINAS MEDICAL CENTER (Active)
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Main Details
Name
CAROLINAS MEDICAL CENTER
Subdivision Name
Radiation Oncology - Radiation Therapy and Brachytherapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340113DH
Medicare Provider Number
340113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/2/2023
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
1021 Morehead Medical Drive
Suite 1000
Charlotte, NC 28204-2839
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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