340B Drug Pricing Program Database
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DSH510029V Thomas Memorial Hospital (Active)
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Main Details
Name
Thomas Memorial Hospital
Subdivision Name
Thomas Health Primary Care on Division Street Department of Thomas Memorial Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510029V
Medicare Provider Number
510029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/21/2017
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
WVU Medicine Thomas Hospitals
Rachel Stephanie Jones, CFO
(304) 766-3428
Primary Contact
WVU Medicine
Colin Nelson, Senior Pharmacy Analyst
(304) 766-3606
Addresses
Street Address
400 DIVISION STREET
SUITE 6
SOUTH CHARLESTON, WV 25309-1204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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