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DSH490017 Maryview Hospital LLC (Active)
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Main Details
Name
Maryview Hospital LLC
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH490017
Medicare Provider Number
490017
Additional Details
Current Program Status
Active
Registration Date
3/1/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/5/2009
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Bon Secours Mercy Health
Jonathan Lee Haynes, Hampton Roads Market CFO
(540) 270-2809
Primary Contact
Bon Secours Mercy Health
Diana Willman, Pharmacy Director
(757) 398-2192
Addresses
Street Address
3636 HIGH ST
PORTSMOUTH, VA 23707
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Last Updated On
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3/27/12 Added Medicaid#; 12/30/2009 DOC. RECD. TO CONFIRM DSH ADJ
03/27/2012
12/30/2009 DOC. RECD. TO CONFIRM DSH ADJ
03/10/2010
April 2025
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