340B Drug Pricing Program Database
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DSH510007 ST. MARYS MEDICAL CENTER INC. (Active)
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Main Details
Name
ST. MARYS MEDICAL CENTER INC.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510007
Medicare Provider Number
510007
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/28/2016
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
St. Mary's Medical Center
Aaron C Blevins, Chief Pharmacy Officer
(304) 526-8250
Primary Contact
St. Mary's Medical Center
Kathy Walker, 340B Program Coordinator
(304) 526-8748
Addresses
Street Address
2900 FIRST AVENUE
HUNTINGTON, WV 25702-1241
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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