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DSH510001AX WEST VIRGINIA UNIVERSITY HOSPITALS, INC. (Active)
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Main Details
Name
WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Subdivision Name
WVUH PET
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510001AX
Medicare Provider Number
510001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/10/2025
Last Recertification Date
Contacts
Authorizing Official
West Virginia University Healthcare
Justin Gibson, VP of Finance-North Region
(304) 598-4256
Primary Contact
WVU Medicine
Karen Lynn Famoso, Enterprise Director, Compliance and Business Operations
(304) 281-2986
Addresses
Street Address
64 Medical Center Drive
Morgantown, WV 26505-3409
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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