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CH03310J CAMDEN-ON-GAULEY MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
CAMDEN-ON-GAULEY MEDICAL CENTER, INC.
Subdivision Name
Camden Family Health - Richwood
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017492
340B ID
CH03310J
Grant Number
H80CS00078
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/13/2016
Last Recertification Date
2/16/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Camden on Gauley Medical Center, Inc
Margaret Hickey, CEO
(304) 226-5725
Primary Contact
Camden on Gauley Medical Center, Inc.
Thomas Stark, PHARMACIST
(304) 872-1663 Ext: 110
Addresses
Street Address
58 East Main Street
Richwood, WV 26261
Billing Address
Camden On Gauley Medical Center Inc
10003 Webster Road
Camden on Gauley, WV 26208
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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