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DSH510031 ST FRANCIS HOSPITAL (Terminated)
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Main Details
Name
ST FRANCIS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510031
Medicare Provider Number
510031
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/27/2019
Last Recertification Date
8/29/2023
Termination Date
Termination Reason
7/1/2024
Other
Contacts
Authorizing Official
Thomas Health System
Jason Gizzi, VP of Finance/CFO
(304) 288-1614
Primary Contact
WVU Medicine
Colin Nelson, Senior Pharmacy Analyst
(304) 766-3606
Addresses
Street Address
333 LAIDLEY STREET
CHARLESTON, WV 25301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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