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DSH510022G CHARLESTON AREA MEDICAL CENTER (CAMC) (Active)
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Main Details
Name
CHARLESTON AREA MEDICAL CENTER (CAMC)
Subdivision Name
CAMC URGENT CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510022G
Medicare Provider Number
510022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/23/2011
Participating Start Date
4/1/2011
Participating Approval Date
1/27/2011
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
CAMC Health System
Jeff D Sandene, EVP CFO
(304) 388-7603
Primary Contact
Vandalia Health
Brian Sayre, VP of Pharmacy Services
(304) 388-8917
Addresses
Street Address
314 GOFF MOUNTAIN ROAD
Cross Lanes Plaza - Suite 3
CROSS LANES, WV 25313
Billing Address
CAMC Memorial Hospital Pharmacy
3200 MacCorkle Avenue SE
Charleston, WV 25304
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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