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DSH360153D BELMONT COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
BELMONT COMMUNITY HOSPITAL
Subdivision Name
Shadyside Health Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360153D
Medicare Provider Number
360153
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/6/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/26/2016
Last Recertification Date
8/16/2018
Termination Date
Termination Reason
4/1/2019
Loss of qualifying hospital status
Contacts
Authorizing Official
Harrison Community Hospital
James Murdy, CFO
(304) 243-3681
Primary Contact
Belmont Community Hospital
Daniel Lee Palmer, Pharmacist
(740) 671-1260
Addresses
Street Address
4000 Central Avenue
Shadyside, OH 43947
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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