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DSH360153 BELMONT COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
BELMONT COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360153
Medicare Provider Number
360153
Additional Details
Current Program Status
Terminated
Registration Date
3/4/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/7/2011
Last Recertification Date
8/22/2018
Termination Date
Termination Reason
4/1/2019
Loss of qualifying hospital status
Contacts
Authorizing Official
Harrison Community Hospital
James Murdy, CFO
(304) 243-3681
Primary Contact
Belmont Community Hospital
Daniel Lee Palmer, Pharmacist
(740) 671-1260
Addresses
Street Address
4697 HARRISON STREET
BELLAIRE, OH 43906
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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