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DSH510001AC WEST VIRGINIA UNIVERSITY HOSPITALS, INC. (Active)
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Main Details
Name
WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Subdivision Name
University Town Centre / Women's Health Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510001AC
Medicare Provider Number
510001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/18/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
West Virginia University Healthcare
Justin Gibson, VP of Finance-North Region
(304) 598-4256
Primary Contact
WVU Medicine
Karen Lynn Famoso, Enterprise Director, Compliance and Business Operations
(304) 281-2986
Addresses
Street Address
6040 University Town Centre Drive
Suite 2C & D
Morgantown, WV 26501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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