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DSH510055AE CABELL HUNTINGTON HOSPITAL, INC. (Terminated)
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Main Details
Name
CABELL HUNTINGTON HOSPITAL, INC.
Subdivision Name
Cabell Huntington Hospital Home Health - Proctorville
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510055AE
Medicare Provider Number
510055
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/10/2014
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
25 Leon Alley
Proctorville, OH 45669
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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