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DSH510022BK CHARLESTON AREA MEDICAL CENTER (CAMC) (Active)
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Main Details
Name
CHARLESTON AREA MEDICAL CENTER (CAMC)
Subdivision Name
CAMC Teays Valley Physical Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510022BK
Medicare Provider Number
510022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/16/2015
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
CAMC Health System
Jeff D Sandene, EVP CFO
(304) 388-7603
Primary Contact
Vandalia Health
Brian Sayre, VP of Pharmacy Services
(304) 388-8917
Addresses
Street Address
3948 Teays Valley Road
Hurricane, WV 25526
Billing Address
CAMC Teays Valley Hospital Pharmacy
1400 Hospital Drive
Hurricane, WV 25526
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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