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DSH510008 City Hospital, Inc. DBA Berkeley Medical Center (Active)
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Main Details
Name
City Hospital, Inc. DBA Berkeley Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510008
Medicare Provider Number
510008
Additional Details
Current Program Status
Active
Registration Date
8/31/2007
Participating Start Date
10/1/2007
Participating Approval Date
9/4/2007
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
WVU Medicine East
Grover Glendon Kerns, VP of Finance
(304) 260-1443
Primary Contact
Berkeley Medical Center
Christian Miller, Pharmacy Director
(304) 264-1219
Addresses
Street Address
2500 HOSPITAL DRIVE
MARTINSBURG, WV 25401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/14/12 update NPI/Medicaid
03/14/2012
April 2025
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