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DSH490032 Virginia Commonwealth University Health System (Active)
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Main Details
Name
Virginia Commonwealth University Health System
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490032
Medicare Provider Number
490032
Additional Details
Current Program Status
Active
Registration Date
10/19/2006
Participating Start Date
12/1/1992
Participating Approval Date
10/19/2006
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
VCU Health System
Matthew Jenkins, Vice President, Chief Pharmacy Officer
(804) 628-8676
Primary Contact
VCU Health System
Rodney Stiltner, Director of Pharmacy
(804) 828-5468
Addresses
Street Address
1250 East Marshall Street
RICHMOND, VA 23298
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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