340B Drug Pricing Program Database
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DSH510029Z Thomas Memorial Hospital (Active)
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Main Details
Name
Thomas Memorial Hospital
Subdivision Name
WVU Medicine Thomas Hospitals Psychiatry
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510029Z
Medicare Provider Number
510029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/30/2018
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
333 Laidley St 4 East
Charleston, WV 25301
Billing Address
Thomas Memorial Hospital
4605 MacCorkle Avenue, SW
South Charleston, WV 25309
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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