340B Drug Pricing Program Database
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DSH510029AD Thomas Memorial Hospital (Active)
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Main Details
Name
Thomas Memorial Hospital
Subdivision Name
Thomas Health Primary Care on Kentucky Street Department of Thomas Memorial Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510029AD
Medicare Provider Number
510029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/25/2019
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
4820 Kentucky Street
South Charleston, WV 25309
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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