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NORTH CAROLINA BAPTIST HOSPITAL
DSH340064 WRMC HOSPITAL OPERATING CORPORATION
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Covered Entity Details
Entity Name
WRMC HOSPITAL OPERATING CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340064
Entity Address
1370 WEST D STREET
NORTH WILKESBORO, NC 28659
Medicare Provider Number
340064
Participating Start Date
1/21/2021
Last Recertification Date
8/24/2021
Entity Termination Date
1/1/2022
Pharmacy Details
Pharmacy Name
NORTH CAROLINA BAPTIST HOSPITAL
Pharmacy Address
DBA NORTH TOWER PHARMACY
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Barry Christopher Wald, Director - Affiliate Finance
(336) 651-8510
Contract Pharmacy Representative
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Signed By Date
4/12/2021
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