340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH510038H STONEWALL JACKSON MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
STONEWALL JACKSON MEMORIAL HOSPITAL
Subdivision Name
Weston Orthopedics and Sports Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH510038H
Medicare Provider Number
510038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/3/2018
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Vandalia Health
Clyde Richard Scherich, VP of Finance
(304) 598-1204
Primary Contact
Mon Health Stonewall Jackson memorial Hospital
Joe P Second, Sr Dir Operations
(304) 269-8149
Addresses
Street Address
29 Hospital Plaza
Suite C
Weston, WV 26452
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date (01/01/2013) until terminated effective date (10/01/2018), reinstatement effective date (01/01/2019)
10/02/2018
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session