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CH034190 MINNIE HAMILTON HEALTH CARE CENTER (Active)
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Main Details
Name
MINNIE HAMILTON HEALTH CARE CENTER
Subdivision Name
MINNIE HAMILTON HEALTH CARE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004511
340B ID
CH034190
Grant Number
H80CS00761
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/29/2003
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Minnie Hamilton Health Care Center, Inc
Stephen Whited, CEO
(304) 354-9244 Ext: 5183
Primary Contact
Minnie Hamilton Health Care Center, Inc
Matthew Alan Siwicki, Pharmacist
(304) 354-9244 Ext: 5127
Addresses
Street Address
186 Hospital Dr
Grantsville, WV 26147-7100
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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