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PITT COUNTY MEMORIAL HOSPITAL
DSH340151 Halifax Regional Medical Center, Inc. d/b/a ECU Health North Hospital
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Covered Entity Details
Entity Name
Halifax Regional Medical Center, Inc. d/b/a ECU Health North Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340151
Entity Address
250 SMITH CHURCH ROAD
ROANOKE RAPIDS, NC 27870
Medicare Provider Number
340151
Participating Start Date
7/1/2004
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
PITT COUNTY MEMORIAL HOSPITAL
Pharmacy Address
D/B/A ECU HEALTH SPECIALTY PHARMACY
2100 STANTONSBURG RD RM 1CC-1105
GREENVILLE, NC 27834
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jason Barnes Harrell, President
(252) 535-8159
Contract Pharmacy Representative
ECU Health
Jim Worden, Pharmacy Director
(252) 847-4481
Signed By Date
10/13/2022
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