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CH03090R SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED (Terminated)
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Main Details
Name
SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED
Subdivision Name
SCH Billing Offices
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010419
340B ID
CH03090R
Grant Number
H80CS00781
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
2/18/2021
Termination Date
Termination Reason
7/1/2021
Site closure
Contacts
Authorizing Official
Shenandoah Valley Medical System, Incorporated
Michael Hassing, CEO
(304) 596-2610 Ext: 1062
Primary Contact
Shenandoah Valley Medical System, Inc
Stephen W McCahan, Pharmacy Director
(304) 596-2244
Addresses
Street Address
109 Tavern Rd
Martinsburg, WV 25401-2841
Billing Address
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
PO BOX 1146
Martinsburg, WV 25401-1146
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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