340B Drug Pricing Program Database
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DSH490094 RICHMOND COMMUNITY HOSPITAL (Active)
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Main Details
Name
RICHMOND COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH490094
Medicare Provider Number
490094
Additional Details
Current Program Status
Active
Registration Date
6/5/2006
Participating Start Date
1/1/2004
Participating Approval Date
6/5/2006
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Bon Secours Mercy Health
Gregory S Simmons, Site CFO
(804) 248-8731
Primary Contact
Richmond Community Hospital
DeJuan Branch, Director of Pharmacy
(804) 343-6407
Addresses
Street Address
1500 North 28TH Street
RICHMOND, VA 23223
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/27/12 REVISED MEDICAID # (WAS 004900944); 6/5/06 - REPLACES DSH23223
03/27/2012
6/5/06 - REPLACES DSH23223
01/04/2007
April 2025
April 2025
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