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DSH490098 COMMUNITY MEMORIAL HOSPITAL (Approved)
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Main Details
Name
COMMUNITY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490098
Medicare Provider Number
490098
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/16/2025
Last Recertification Date
Contacts
Authorizing Official
VCU Health System
Matthew Jenkins, Vice President, Chief Pharmacy Officer
(804) 628-8676
Primary Contact
Community Memorial Hospital
Ricky Clary, Director of Pharmacy
(434) 584-5115
Addresses
Street Address
1755 N MECKLENBURG AVENUE
SOUTH HILL, VA 23970
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2021, terminated 1/1/2025. Reinstated 7/1/2025.
04/15/2025
Participated starting 7/1/2005, terminated 4/1/2013. Reinstated 4/1/2021.
02/12/2021
Participated starting 6/1/2005, terminated 4/1/2013. Reinstated 4/1/2021.
02/10/2021
8/21/08-ADDED NPI 1336103738
08/21/2008
May 2025
May 2025
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