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CAH511321-00 ST. JOSEPHS HOSPITAL (Active)
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Main Details
Name
ST. JOSEPHS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH511321-00
Medicare Provider Number
511321
Additional Details
Current Program Status
Active
Registration Date
7/1/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/7/2015
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
St. Joseph's Hospital
Russell J. Plywaczynski, Director of Finance
(304) 460-7955
Primary Contact
St. Josephs Hospital
Eric George Strother, Director of Pharmacy
(304) 473-2151
Addresses
Street Address
1 AMALIA DRIVE
BUCKHANNON, WV 26201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/20/15 Formerly enrolled in 340B as DSH510053
07/20/2015
April 2025
April 2025
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