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CAH511306-00 HOSPITAL DEVELOPMENT CORPORATION DBA ROANE GENERAL HOSPITAL (Active)
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Main Details
Name
HOSPITAL DEVELOPMENT CORPORATION DBA ROANE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH511306-00
Medicare Provider Number
511306
Additional Details
Current Program Status
Active
Registration Date
6/14/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/16/2011
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Roane General Hospital
DOUGLAS E. BENTZ, CEO
(304) 927-6200
Primary Contact
Roane General Hospital
Erin Nichols, Director of Pharmacy
(304) 927-6376
Addresses
Street Address
200 HOSPITAL DRIVE
SPENCER, WV 25276
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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