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DSH510022C CHARLESTON AREA MEDICAL CENTER (CAMC) (Active)
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Main Details
Name
CHARLESTON AREA MEDICAL CENTER (CAMC)
Subdivision Name
CAMC WOMEN & CHILDRENS OBSERVATION BEDS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510022C
Medicare Provider Number
510022
Outpatient Facility Provider Number
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
800 PENNSYLVANIA AVENUE
CHARLESTON, WV 25302
Billing Address
CAMC Women & Childrens Hospital Pharmacy
800 Pennsylvania Avenue
Charleston, WV 25302
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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ORIG PART 7/1/03-6/30/05, NOT ELIG 7/1/05-9/21/05
07/08/2008
April 2025
April 2025
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