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CH03308V RAINELLE MEDICAL CENTER (Active)
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Main Details
Name
RAINELLE MEDICAL CENTER
Subdivision Name
Rainelle Elementary School Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028198
340B ID
CH03308V
Grant Number
H80CS18278
Additional Details
Current Program Status
Active
Registration Date
10/1/2024
Participating Start Date
1/1/2025
Participating Approval Date
12/4/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Rainelle Medical Center, Inc.
KRISTI ATHA-RADER, CEO
(304) 438-6188 Ext: 1006
Primary Contact
Rainelle Medical Center, Inc.
David R Yoakum, Pharmacy Director
(304) 438-6188 Ext: 1099
Addresses
Street Address
701 Kanawha Ave
Rainelle, WV 25962-1015
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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