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CAH491304-10 CARILION ROCKBRIDGE COMMUNITY HOSPITAL (Active)
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Main Details
Name
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Subdivision Name
Carilion General Surgery - Clifton Forge Rural Health - Carilion General Surgery- Clifton Forge Rural Health
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH491304-10
Medicare Provider Number
491304
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/29/2024
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Carilion Clinic
Tim Auwarter, VP Hospital Operations
(540) 981-7804
Primary Contact
Carilion
Trina Epperly, 340B Program Director
(540) 224-3004
Addresses
Street Address
609 Church St
Clifton Forge, VA 24422
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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