340B Drug Pricing Program Database
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DSH510029AC Thomas Memorial Hospital (Active)
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Main Details
Name
Thomas Memorial Hospital
Subdivision Name
WVU Medicine Thomas Hospitals Infectious Disease
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510029AC
Medicare Provider Number
510029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/31/2019
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
4607 MacCorkle Ave SW.
Suite 200
South Charleston, WV 25309
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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