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DSH510001Z WEST VIRGINIA UNIVERSITY HOSPITALS, INC. (Terminated)
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Main Details
Name
WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Subdivision Name
Center for Joint Replacement Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510001Z
Medicare Provider Number
510001
Outpatient Facility Provider Number
510001
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/16/2014
Last Recertification Date
8/19/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
WVU Hospitals
Melissa D McCoy, Chief Financial Officer
(304) 598-4554
Primary Contact
WVU Hospitals
Amy Stephens, Director
(304) 598-4877
Addresses
Street Address
1075 Van Voorhis Rd
Morgantown, WV 26505
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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