340B Drug Pricing Program Database
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DSH510055S Cabell Huntington Hospital, Inc. (Terminated)
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Main Details
Name
Cabell Huntington Hospital, Inc.
Subdivision Name
CHH/MU Peds
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510055S
Medicare Provider Number
510055
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/11/2014
Last Recertification Date
8/27/2019
Termination Date
Termination Reason
1/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Cabell Huntington Hospital
David M Ward, Sr. Vp/Cfo
(304) 526-2055
Primary Contact
Cabell Huntington Hospital
Rebecca Briana Crutchley, 340B Coordinator
(304) 399-4690
Addresses
Street Address
1600 Medical Center Drive
3500
Huntington, WV 25701
Billing Address
Cabell Huntington Hospital, Inc.
1340 Hal Greer Blvd.
Huntington, WV 25701-0195
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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