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DSH510006 UNITED HOSPITAL CENTER (Active)
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Main Details
Name
UNITED HOSPITAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH510006
Medicare Provider Number
510006
Additional Details
Current Program Status
Active
Registration Date
9/11/2009
Participating Start Date
10/1/2016
Participating Approval Date
9/11/2009
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
United Hospital Center
James Rutkowski, VP Finance/CFO
(681) 342-1605
Primary Contact
United Hospital Center
Carlton K. Hoskinson Jr., Director
(681) 342-1560
Addresses
Street Address
327 MEDICAL PARK DRIVE
BRIDGEPORT, WV 26330
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/26/16 Participated as a DSH starting 10/1/2009, terminated DSH and Converted to SCH starting 1/1/2014, reinstated as a DSH 10/1/2016
08/26/2016
8/27/09- DOC REC TO CONFIRM ELIG DSH ADJ%;03/08/11 UPDATED ADDR.(WAS 3 HOSPITAL PLAZA)
03/08/2011
May 2025
May 2025
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