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CH03419A MINNIE HAMILTON HEALTH CARE CENTER (Active)
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Main Details
Name
MINNIE HAMILTON HEALTH CARE CENTER
Subdivision Name
Glenville Medical Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036029
340B ID
CH03419A
Grant Number
H80CS00761
Additional Details
Current Program Status
Active
Registration Date
8/29/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/30/2005
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
376 WV Highway 5 E
Glenville, WV 26351
Billing Address
MINNIE HAMILTON HEALTH CARE CENTER
186 HOSPITAL DRIVE
GRANTSVILLE, WV 26147
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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