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DSH510022 CHARLESTON AREA MEDICAL CENTER (CAMC) (Active)
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Main Details
Name
CHARLESTON AREA MEDICAL CENTER (CAMC)
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510022
Medicare Provider Number
510022
Additional Details
Current Program Status
Active
Registration Date
7/8/2008
Participating Start Date
9/22/2005
Participating Approval Date
7/8/2008
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
CAMC Health System
Jeff D Sandene, EVP CFO
(304) 388-7603
Primary Contact
Vandalia Health
Brian Sayre, VP of Pharmacy Services
(304) 388-8917
Addresses
Street Address
501 MORRIS STREET
CHARLESTON, WV 25301
Billing Address
CAMC Accounts Payable
PO Box 2069
Charleston, WV 25301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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1/21/2011- ADDED SHIP TO; ORIG PART 7/1/03-6/30/05, NOT ELIG 7/1/05-9/21/05
01/21/2011
May 2025
May 2025
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