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SCH510072-00 WETZEL COUNTY HOSPITAL (Terminated)
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Main Details
Name
WETZEL COUNTY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH510072-00
Medicare Provider Number
510072
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/17/2017
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
Wetzel County Hospital Association
Brian K. Felici, CEO
(304) 455-8111
Primary Contact
Wetzel County Hosptial Association
Kitty Jo Lloyd, Accountant/Revenue Cycle Analyst
(304) 455-8000 Ext: 8052
Addresses
Street Address
3 EAST BENJAMIN DRIVE
NEW MARTINSVILLE, WV 26155
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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