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DSH490037 RIVERSIDE SHORE MEMORIAL HOSPITAL (Active)
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Main Details
Name
RIVERSIDE SHORE MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490037
Medicare Provider Number
490037
Additional Details
Current Program Status
Active
Registration Date
2/29/2008
Participating Start Date
7/1/2004
Participating Approval Date
2/29/2008
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Riverside Healthcare Association Inc
WILLIAM W. AUSTIN JR., SENIOR VP & CFO
(757) 534-7015
Primary Contact
Riverside Health System
Cynthia Williams, VP/Chief Pharmacy Officer
(757) 784-1569
Addresses
Street Address
20480 Market Street
Onancock, VA 23417
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/2/09 UPDATED ENTITY NAME (WAS SHORE MEMORIAL HOSPITAL);
06/29/2011
May 2025
May 2025
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