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CAH511312-01 PRESTON MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
PRESTON MEMORIAL HOSPITAL
Subdivision Name
PRESTON MEMORIAL FAMILY CARE- FELLO
Type
Critical Access Hospital
Rural
No
340B ID
CAH511312-01
Medicare Provider Number
511312
Outpatient Facility Provider Number
511312
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/8/2014
Last Recertification Date
8/20/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Preston Memorial Hospital
KEVIN GESSLER, Vice President Financial Services
(304) 329-1400 Ext: 1120
Primary Contact
Preston Memorial Hospital
SHARI WALKER, Managing Accountant
(304) 329-1400 Ext: 1610
Addresses
Street Address
2287 S. MOUNTAINEER HWY
THORNTON, WV 26440
Billing Address
Preston Memorial Hospital
150 Memorial Drive
Kingwood, WV 26537
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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