340B Drug Pricing Program Database
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DSH490032Q Virginia Commonwealth University Health System (Terminated)
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Main Details
Name
Virginia Commonwealth University Health System
Subdivision Name
VCUHS Spine Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490032Q
Medicare Provider Number
490032
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/11/2015
Last Recertification Date
8/29/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
VCU Health System
Paul Wesolowski, Chief Operating Officer
(804) 828-4607
Primary Contact
VCU Health
Kevin D Payne, Pharmacist
(804) 364-6815
Addresses
Street Address
8700 Stony Point Parkway
2nd Floor
Richmond, VA 23235
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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