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DSH510001X WEST VIRGINIA UNIVERSITY HOSPITALS, INC. (Active)
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Main Details
Name
WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Subdivision Name
Electroshock Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510001X
Medicare Provider Number
510001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/16/2014
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
West Virginia University Healthcare
Justin Gibson, VP of Finance-North Region
(304) 598-4256
Primary Contact
WVU Medicine
Karen Lynn Famoso, Enterprise Director, Compliance and Business Operations
(304) 281-2986
Addresses
Street Address
930 Chestnut Ridge Road
Morgantown, WV 26506
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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