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CAH491304-02 CARILION ROCKBRIDGE COMMUNITY HOSPITAL (Active)
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Main Details
Name
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Subdivision Name
Carilion Family Medicine / Lexington
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH491304-02
Medicare Provider Number
491304
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/17/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/3/2017
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Carilion Clinic
Tim Auwarter, VP Hospital Operations
(540) 981-7804
Primary Contact
Carilion
Trina Epperly, 340B Program Director
(540) 224-3004
Addresses
Street Address
108 HOUSTON ST
STE C
LEXINGTON, VA 24450-2455
Billing Address
Carilion Rockbridge Community Hospital
1 Health Circle
Lexington, VA 24450
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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