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CAH511312-06 PRESTON MEMORIAL HOSPITAL (Active)
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Main Details
Name
PRESTON MEMORIAL HOSPITAL
Subdivision Name
Mon Health Preston Recovery Care Program - Mon Health Preston Recovery Care Program
Type
Critical Access Hospital
Rural
No
340B ID
CAH511312-06
Medicare Provider Number
511312
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/16/2024
Last Recertification Date
Contacts
Authorizing Official
Preston Memorial Hospital
KEVIN GESSLER, Vice President Financial Services
(304) 329-1400 Ext: 1120
Primary Contact
Mon Health Preston Memorial Hospital
Jennifer Cunningham, Director of Pharmacy
(304) 329-1400 Ext: 3600
Addresses
Street Address
428 Morgantown Street
1
Kingwood, WV 26537
Billing Address
Preston Memorial Hospital
150 Memorial Drive
Kingwood, WV 26537
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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