340B Drug Pricing Program Database
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DSH510055AQ Cabell Huntington Hospital, Inc. (Terminated)
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Main Details
Name
Cabell Huntington Hospital, Inc.
Subdivision Name
CHH Woodlands Primary Care Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510055AQ
Medicare Provider Number
510055
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/23/2019
Last Recertification Date
8/16/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
St. Mary's Medical Center
Aaron C Blevins, Chief Pharmacy Officer
(304) 526-8250
Primary Contact
Cabell Huntington Hospital
Rebecca Briana Crutchley, 340B Coordinator
(304) 399-4690
Addresses
Street Address
500 Bradley Foster Drive
Suite 267
Huntington, WV 25701
Billing Address
Cabell Huntington Hospital, Inc.
1340 Hal Greer Blvd.
Huntington, WV 25701-0195
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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