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DSH510008K City Hospital, Inc. DBA Berkeley Medical Center (Active)
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Main Details
Name
City Hospital, Inc. DBA Berkeley Medical Center
Subdivision Name
Wound Care Center - Wound Management Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510008K
Medicare Provider Number
510008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/22/2024
Last Recertification Date
Contacts
Authorizing Official
WVU Medicine East
Grover Glendon Kerns, VP of Finance
(304) 260-1443
Primary Contact
Berkeley Medical Center
Christian Miller, Pharmacy Director
(304) 264-1219
Addresses
Street Address
2000 Foundation Way
Suite 3100
Martinsburg, WV 25401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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