Covered Entity Details

SCH490018-06 AUGUSTA MEDICAL CENTER (Active) - information as of 4/25/2025 5:38:54 PM

Main Details

Name

AUGUSTA MEDICAL CENTER

Subdivision Name

AUGUSTA HEALTH RHEUMATOLOGY & OSTE - Rheumatology

Type

Sole Community Hospital

Rural

Yes

340B ID

SCH490018-06

Medicare Provider Number

490018

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

10/5/2020

Participating Start Date

1/1/2021

Participating Approval Date

10/20/2020

Last Recertification Date

8/20/2024

Contacts

Authorizing Official

Augusta Health
Scott Crabtree, Vice President of Professional Services
(540) 332-4800

Primary Contact

Augusta Health
Crystal L Lambert, Operations Manager
(540) 332-4596

Addresses

Street Address

70 MEDICAL CENTER CIR
STE 210
FISHERSVILLE, VA 22939-2273

Billing Address

Augusta Health
78 Medical Center Drive
PO Box 1000
Fishersville, VA 22939

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
SCH490018-01	Child	SCH	AUGUSTA MEDICAL CENTER	Augusta Health Ambulatory Infusion Center - Augusta Infusion	70 Medical Center Circle	Fishersville	VA	Terminated
SCH490018-02	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH URGENT CARE WAYNESBO - Urgent Care	201 LEW DEWITT BLVD	WAYNESBORO	VA	Active
SCH490018-03	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH URGENT CARE STUARTS - Urgent Care	2570 STUARTS DRAFT HWY	STUARTS DRAFT	VA	Active
SCH490018-04	Child	SCH	AUGUSTA MEDICAL CENTER	Augusta Health - Outpatient Physical Therapy	107 Medical Center Drive	Fishersville	VA	Terminated
SCH490018-05	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH SPINE CARE CLINIC - Spine Clinic	70 MEDICAL CENTER CIR	FISHERSVILLE	VA	Active
SCH490018-06	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH RHEUMATOLOGY & OSTE - Rheumatology	70 MEDICAL CENTER CIR	FISHERSVILLE	VA	Active
SCH490018-07	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH URGENT CARE STAUNTON - Urgent Care	851 STATLER BLVD	STAUNTON	VA	Active
SCH490018-08	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH GASTROENTEROLOGY - Gastroenterology	70 MEDICAL CENTER CIR	FISHERSVILLE	VA	Active
SCH490018-09	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH PAIN MANAGMENT CLINI - Pain Management Clinic	70 MEDICAL CENTER CIR	FISHERSVILLE	VA	Active
SCH490018-10	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH URGENT CARE WEYERS C - Urgent Care	1140 KEEZLETOWN RD	WEYERS CAVE	VA	Active
SCH490018-11	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH DIABETES & ENOCRINOL - Endocrinology Clinic	15 Sports Medicine Dr	FISHERSVILLE	VA	Active
SCH490018-12	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH NEUROLOGY - Neurology	70 MEDICAL CENTER CIR	FISHERSVILLE	VA	Active
SCH490018-13	Child	SCH	AUGUSTA MEDICAL CENTER	Augusta Health- Sleep Diagnostics - Sleep Clinic	57 North Medical Park Drive	Fishersville	VA	Active
SCH490018-14	Child	SCH	AUGUSTA MEDICAL CENTER	SHENANDOAH HOUSE - Hospice House	111 NORTH CAMPUS LN	FISHERVILLE	VA	Active
SCH490018-15	Child	SCH	AUGUSTA MEDICAL CENTER	PV Pain - Pavilion pain	23 North Campus Drive	Fishersville	VA	Active
SCH490018-16	Child	SCH	AUGUSTA MEDICAL CENTER	PV Endo - Pavilion Endoscopy	23 North Campus Drive	Fishersville	VA	Active
SCH490018-17	Child	SCH	AUGUSTA MEDICAL CENTER	AUGUSTA HEALTH BREAST SURGERY CLINI - Breast Surgery Clinic	23 NORTH CAMPUS DRIVE	FISHERSVILLE	VA	Active
SCH490018-18	Child	SCH	AUGUSTA MEDICAL CENTER	Augusta Health Care INC, DBA: Augusta Health Surgery Center	23 North Campus Drive	Fishersville	VA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/15/2023 11:19:19 AM	8/20/2024 5:27:00 PM	8/20/2024 5:27 PM
Details	Last Recertification Date	Update	Recertification	8/25/2022 12:52:49 PM	8/15/2023 11:19:19 AM	8/15/2023 11:19 AM
Contacts	Primary Contact	Update	Profile Change Request	Lambert, Crystal L Pharmacy Analyst Augusta Health 5403324596	Lambert, Crystal L Operations Manager Augusta Health 5403324596	8/14/2023 1:41 PM
Contacts	Authorizing Official	Update	Profile Change Request	Crabtree, Scott Assistant Vice President Augusta Health 5403324800	Crabtree, Scott Vice President of Professional Services Augusta Health 5403324800	8/29/2022 7:54 AM
Details	Last Recertification Date	Update	Recertification	8/17/2021 3:13:01 PM	8/25/2022 12:52:49 PM	8/25/2022 12:52 PM
Contacts	Authorizing Official	Update	AO Change Request	Clark, Karen C Vice President of Operations Augusta Health 5403324800	Crabtree, Scott Assistant Vice President Augusta Health 5403324800	6/15/2022 7:20 AM
Addresses	Main Address	Update	Change Request	70 MEDICAL CENTER CIR STE 201 FISHERSVILLE, VA 22939-2273	70 MEDICAL CENTER CIR STE 210 FISHERSVILLE, VA 22939-2273	4/7/2022 2:14 PM
Details	Last Recertification Date	Update	Recertification		8/17/2021 3:13:01 PM	8/17/2021 3:13 PM
Details	State	Update		Approved	Active	1/1/2021 12:01 AM
Contacts	Signed By	Insert	New Registration		Clark, Karen C Vice President of Operations Augusta Health 5403324800	10/20/2020 9:35 AM
Details	340B ID	Update	New Registration		SCH490018-06	10/20/2020 9:35 AM
Details	Entity Subname	Update	New Registration	AUGUSTA HEALTH RHEUMATOLOGY & OSTE	AUGUSTA HEALTH RHEUMATOLOGY & OSTE - Rheumatology	10/20/2020 9:35 AM
Dates	Participating Approval Date	Update	New Registration		10/20/2020 9:35:59 AM	10/20/2020 9:35 AM
Details	State	Update	New Registration	Pending	Approved	10/20/2020 9:35 AM
Dates	Signed By Date	Update	New Registration		10/8/2020 4:19:30 PM	10/20/2020 9:35 AM
Dates	Start Date	Update	New Registration		1/1/2021 12:00:00 AM	10/20/2020 9:35 AM
Addresses	Main Address	Insert	New Registration		70 MEDICAL CENTER CIR STE 201 FISHERSVILLE, VA 22939-2273	10/5/2020 4:05 PM
Addresses	Billing Address	Insert	New Registration		Augusta Health 78 Medical Center Drive PO Box 1000 Fishersville, VA 22939	10/5/2020 4:05 PM
Contacts	Primary Contact	Insert	New Registration		Lambert, Crystal L Pharmacy Analyst Augusta Health 5403324596	10/5/2020 4:05 PM
Contacts	Authorizing Official	Insert	New Registration		Clark, Karen C Vice President of Operations Augusta Health 5403324800	10/5/2020 4:05 PM
Details	Assistance Received From Date	Insert	New Registration			10/5/2020 4:05 PM
Details	Assistance Received To Date	Insert	New Registration			10/5/2020 4:05 PM
Details	Last Recertification Date	Insert	New Registration			10/5/2020 4:05 PM
Details	Grant Number	Insert	New Registration			10/5/2020 4:05 PM
Details	340B ID	Insert	New Registration			10/5/2020 4:05 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/5/2020 4:05 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/5/2020 4:05 PM
Details	Medicare Provider Number	Insert	New Registration		490018	10/5/2020 4:05 PM
Details	Entity Name	Insert	New Registration		AUGUSTA MEDICAL CENTER	10/5/2020 4:05 PM
Details	NOFO Number	Insert	New Registration			10/5/2020 4:05 PM
Details	Program Code	Insert	New Registration		SCH	10/5/2020 4:05 PM
Details	Entity Subname	Insert	New Registration		AUGUSTA HEALTH RHEUMATOLOGY & OSTE	10/5/2020 4:05 PM
Dates	Participating Approval Date	Insert	New Registration			10/5/2020 4:05 PM
Details	State	Insert	New Registration		Pending	10/5/2020 4:05 PM
Dates	Registration Date	Insert	New Registration		10/5/2020 4:05:38 PM	10/5/2020 4:05 PM
Dates	Signed By Date	Insert	New Registration			10/5/2020 4:05 PM
Dates	Start Date	Insert	New Registration			10/5/2020 4:05 PM
Terminations	Termination Comments	Insert	New Registration			10/5/2020 4:05 PM
Terminations	Termination Date	Insert	New Registration			10/5/2020 4:05 PM
Terminations	Termination Effective Date	Insert	New Registration			10/5/2020 4:05 PM
Terminations	Termination Reason	Insert	New Registration			10/5/2020 4:05 PM