340B Drug Pricing Program Database
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DSH510007M ST. MARYS MEDICAL CENTER INC. (Active)
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Main Details
Name
ST. MARYS MEDICAL CENTER INC.
Subdivision Name
St. Mary's Cardiovascular & Thoracic Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510007M
Medicare Provider Number
510007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/15/2017
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
St. Mary's Medical Center
Aaron C Blevins, Chief Pharmacy Officer
(304) 526-8250
Primary Contact
St. Mary's Medical Center
Kathy Walker, 340B Program Coordinator
(304) 526-8748
Addresses
Street Address
2828 1st Ave
STE 200
Huntington, WV 25702-1236
Billing Address
St Mary's Medical Center
2900 First Avenue
Huntington, WV 25702-1241
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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