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DSH490024EW CARILION MEDICAL CENTER (Terminated)
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Main Details
Name
CARILION MEDICAL CENTER
Subdivision Name
Carilion Pediatric Otolaryngology ENT Clinic - Carilion Pediatric Otolaryngology ENT Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH490024EW
Medicare Provider Number
490024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/16/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/29/2018
Last Recertification Date
9/13/2019
Termination Date
Termination Reason
10/1/2020
Other
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
3 Riverside Circle
Roanoke, VA 24016
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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