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CH033080 RAINELLE MEDICAL CENTER (Active)
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Main Details
Name
RAINELLE MEDICAL CENTER
Subdivision Name
RAINELLE MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005571
340B ID
CH033080
Grant Number
H80CS18278
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
4/1/1996
Participating Approval Date
4/1/1996
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
176 Medical Center Drive
Rainelle, WV 25962-1013
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/7/11 UPDATED GRANT # (WAS H80CS00077)
06/07/2011
April 2025
April 2025
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