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CAH511314-00 Pocahontas Memorial Hospital (Active)
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Main Details
Name
Pocahontas Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH511314-00
Medicare Provider Number
511314
Additional Details
Current Program Status
Active
Registration Date
1/3/2013
Participating Start Date
1/1/2014
Participating Approval Date
2/14/2013
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Pocahontas Memorial Hospital
Rebecca Hammer, Chief Financial Officer
(304) 799-1024
Primary Contact
Pocahontas Memorial Hospital
Kari Cooper, Director of Pharmacy
(304) 799-2002
Addresses
Street Address
150 Duncan Road
Buckeye, WV 24924
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/15/13 participating 4/1/13 thru 9/30/13, not participating 10/1/13 thru 12/31/13 due to failure to recertify, reinstated based on on-line registration submitted in Oct. 2013
11/15/2013
May 2025
May 2025
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