340B Drug Pricing Program Database
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DSH510046 PRINCETON COMMUNITY HOSPITAL (Active)
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Main Details
Name
PRINCETON COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH510046
Medicare Provider Number
510046
Additional Details
Current Program Status
Active
Registration Date
12/3/2008
Participating Start Date
1/1/2009
Participating Approval Date
12/3/2008
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Princeton Community Hospital Association, Inc.
Diane Lynn Spencer, VP of Finance/CFO
(304) 487-7505
Primary Contact
Princeton Community Hospital
Daniel Paul Morrison, Director of Pharmacy
(304) 487-7564
Addresses
Street Address
122 12TH STREET
PRINCETON, WV 24740
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/08-DOC RECD TO CONFIRM ELIG DSH ADJ%
12/03/2008
April 2025
April 2025
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