340B Drug Pricing Program Database
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DSH510029AY Thomas Memorial Hospital (Active)
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Main Details
Name
Thomas Memorial Hospital
Subdivision Name
Thomas Outpatient Diagnostic Center in Spring Hill - Diagnostic Radiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510029AY
Medicare Provider Number
510029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/15/2024
Last Recertification Date
Contacts
Authorizing Official
WVU Medicine Thomas Hospitals
Rachel Stephanie Jones, CFO
(304) 766-3428
Primary Contact
WVU Medicine
Colin Nelson, Senior Pharmacy Analyst
(304) 766-3606
Addresses
Street Address
4800 Kanawha Ave SW
South Charleston, WV 25309
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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