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DSH510055W CABELL HUNTINGTON HOSPITAL, INC. (Terminated)
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Main Details
Name
CABELL HUNTINGTON HOSPITAL, INC.
Subdivision Name
Payne Neuro Clinic (aka Functional Neurosurgery Clinic)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510055W
Medicare Provider Number
510055
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/9/2014
Last Recertification Date
11/14/2017
Termination Date
Termination Reason
10/1/2018
Other
Contacts
Authorizing Official
Cabell Huntington Hospital
David M Ward, Sr. Vp/Cfo
(304) 526-2055
Primary Contact
Cabell Huntington Hospital
Sherri Dawn Morgan, Director of Pharmacy
(304) 526-2102
Addresses
Street Address
1305 Elm Street
Huntington, WV 25701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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