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CH03082K MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC (Terminated)
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Main Details
Name
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC
Subdivision Name
MVA Health Center - West Fairmont Middle School Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022243
340B ID
CH03082K
Grant Number
H80CS00383
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/16/2018
Last Recertification Date
2/7/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
MVA Health Centers, Inc.
NANCY L. VANDERGRIFT, CEO
(304) 367-8740
Primary Contact
MVA Health Centers, Inc
Kayetlyn Mary Dawn Edinger, Manager of Operations, 340B Coordinator
(304) 367-8628
Addresses
Street Address
110 10th Street
Fairmont, WV 26554-3607
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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