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DSH510031E ST FRANCIS HOSPITAL (Terminated)
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Main Details
Name
ST FRANCIS HOSPITAL
Subdivision Name
Thomas Health Primary Care on Donnally Street Department of Saint Francis Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510031E
Medicare Provider Number
510031
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
3/7/2019
Last Recertification Date
8/28/2023
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
500 DONNALLY ST 203
CHARLESTON, WV 25301-1600
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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