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CAH511307-00 GRAFTON CITY HOSPITAL (Active)
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Main Details
Name
GRAFTON CITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH511307-00
Medicare Provider Number
511307
Additional Details
Current Program Status
Active
Registration Date
5/4/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/14/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Grafton City Hospital
Melissa Lockwood, Chief Administrative Officer
(304) 692-8071
Primary Contact
Grafton City Hospital
Lisa Povroznik, Director of Pharmacy
(304) 265-7350
Addresses
Street Address
1 Hospital Plaza
GRAFTON, WV 26354
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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