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DSH490052A RIVERSIDE REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
RIVERSIDE REGIONAL MEDICAL CENTER
Subdivision Name
Riverside Gastroenterology Specialists
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH490052A
Medicare Provider Number
490052
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/4/2008
Participating Start Date
9/4/2008
Participating Approval Date
9/4/2008
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Riverside Healthcare Association Inc
WILLIAM W. AUSTIN JR., SENIOR VP & CFO
(757) 534-7015
Primary Contact
Riverside Health System
Leah West, 340B Manager
(757) 316-5708
Addresses
Street Address
101 PHILLIP ROTH STREET
NEWPORT NEWS, VA 23606
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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