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DSH510001A WEST VIRGINIA UNIVERSITY HOSPITALS, INC. (Active)
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Main Details
Name
WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Subdivision Name
Cheat Lake Physicians
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510001A
Medicare Provider Number
510001
Outpatient Facility Provider Number
510001
Additional Details
Current Program Status
Active
Registration Date
5/11/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/28/2012
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
West Virginia University Healthcare
Justin Gibson, VP of Finance-North Region
(304) 598-4256
Primary Contact
WVU Medicine
Karen Lynn Famoso, Enterprise Director, Compliance and Business Operations
(304) 281-2986
Addresses
Street Address
608 Cheat Road
Morgantown, WV 26508
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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