340B Drug Pricing Program Database
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DSH510008A City Hospital, Inc. DBA Berkeley Medical Center (Active)
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Main Details
Name
City Hospital, Inc. DBA Berkeley Medical Center
Subdivision Name
Cancer and Infusion Center, a Dept of Berkeley Medical Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510008A
Medicare Provider Number
510008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/3/2012
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
WVU Medicine East
Grover Glendon Kerns, VP of Finance
(304) 260-1443
Primary Contact
Berkeley Medical Center
Christian Miller, Pharmacy Director
(304) 264-1219
Addresses
Street Address
2000 Foundation Way
Martinsburg, WV 25401
Billing Address
Berkeley Medical Center
2500 Hospital Drive
Attn: Pharmacy
Martinsburg, WV 25401
Comments
Medicaid Billing
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