340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH510030 Davis Memorial Hospital DBA DAVIS MEDICAL CENTER (Active)
Print
Main Details
Name
Davis Memorial Hospital DBA DAVIS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH510030
Medicare Provider Number
510030
Additional Details
Current Program Status
Active
Registration Date
9/4/2007
Participating Start Date
1/1/2005
Participating Approval Date
9/4/2007
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Vandalia Health
Clyde Richard Scherich, VP of Finance
(304) 598-1204
Primary Contact
Vandalia Health
Julie Beam, Pharmacy 340B Analyst and Integrity Coordinator
(304) 701-7932
Addresses
Street Address
812 Gorman Avenue
ELKINS, WV 26241
Billing Address
Davis Memorial Hospital
PO Box 1484
812 Gorman Avenue
Elkins, WV 26241
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
3/27/12 Revised NPI# (Was 0001394000)
03/27/2012
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session