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CH03308G RAINELLE MEDICAL CENTER, INC. (Active)
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Main Details
Name
RAINELLE MEDICAL CENTER, INC.
Subdivision Name
Maxwelton Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017677
340B ID
CH03308G
Grant Number
H80CS18278
Additional Details
Current Program Status
Active
Registration Date
1/11/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/9/2017
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Rainelle Medical Center, Inc.
KRISTI ATHA-RADER, CEO
(304) 438-6188 Ext: 1006
Primary Contact
Rainelle Medical Center, Inc.
David R Yoakum, Pharmacy Director
(304) 438-6188 Ext: 1099
Addresses
Street Address
390 Industrial Park Road
Maxwelton, WV 24957-8066
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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