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DSH510058 CAMDEN-CLARK MEMORIAL HOSP (Active)
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Main Details
Name
CAMDEN-CLARK MEMORIAL HOSP
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510058
Medicare Provider Number
510058
Additional Details
Current Program Status
Active
Registration Date
7/13/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/30/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Camden Clark Medical Center DBA Camden-Clark Memorial Hospital
Kyle Anthony Pierson, CFO
(304) 424-2202
Primary Contact
WVU Medicine
Barbra Sue May, Enterprise Manager, 340B Program
(304) 290-9830
Addresses
Street Address
800 GARFIELD AVENUE
PARKERSBURG, WV 26101
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/30/15 Previously participating as RRC510058 starting 4/1/14
07/30/2015
June 2025
June 2025
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