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CAH511318-00 Montgomery General Hospital, Inc (Active)
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Main Details
Name
Montgomery General Hospital, Inc
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH511318-00
Medicare Provider Number
511318
Additional Details
Current Program Status
Active
Registration Date
3/26/2012
Participating Start Date
7/1/2012
Participating Approval Date
5/30/2012
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Montgomery General Hospital, Inc
Sherri Murray, CFO
(304) 442-1246
Primary Contact
Montgomery General Hospital
Megan Rader, Pharmacist
(304) 442-1321
Addresses
Street Address
401 Sixth Avenue
Montgomery, WV 25136
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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