340B Drug Pricing Program Database
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DSH510029K Thomas Memorial Hospital (Active)
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Main Details
Name
Thomas Memorial Hospital
Subdivision Name
Thomas Health Endocrinology on Poplar Street Department of Thomas Memorial Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510029K
Medicare Provider Number
510029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/12/2016
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
WVU Medicine Thomas Hospitals
Rachel Stephanie Jones, CFO
(304) 766-3428
Primary Contact
WVU Medicine
Colin Nelson, Senior Pharmacy Analyst
(304) 766-3606
Addresses
Street Address
500 Poplar St
Suite 300
South Charleston, WV 25309-1472
Billing Address
Thomas Memorial Hospital
4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Comments
Medicaid Billing
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