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DSH360153A BELMONT COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
BELMONT COMMUNITY HOSPITAL
Subdivision Name
BELMONT COMMUNITY HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360153A
Medicare Provider Number
360153
Outpatient Facility Provider Number
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
8/16/2018
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
3000 GUERNSEY 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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