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SCH340051-00 WATAUGA MEDICAL CENTER (ToBeTerminated)
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Main Details
Name
WATAUGA MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH340051-00
Medicare Provider Number
340051
Additional Details
Current Program Status
ToBeTerminated
Registration Date
11/23/2010
Participating Start Date
3/15/2022
Participating Approval Date
12/21/2010
Last Recertification Date
9/3/2024
Termination Date
Termination Reason
7/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Appalachian Regional Healthcare System
Rick Cassady, Chief Financial Officer
(828) 262-4119
Primary Contact
Watauga Medical Center
John Wilson Roten, Director of Pharmacy
(828) 262-4137
Addresses
Street Address
336 DEERFIELD ROAD
BOONE, NC 28607
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/20/2010- DOC. RECD. TO CONFIRM ELIG. DSH PERCENTAGE
12/21/2010
April 2025
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