340B Drug Pricing Program Database
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DSH510007T ST. MARYS MEDICAL CENTER INC. (Active)
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Main Details
Name
ST. MARYS MEDICAL CENTER INC.
Subdivision Name
ST MARY'S NEUROSURGERY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510007T
Medicare Provider Number
510007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/8/2019
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
St. Mary's Medical Center
Aaron C Blevins, Chief Pharmacy Officer
(304) 526-8250
Primary Contact
St. Mary's Medical Center
Kathy Walker, 340B Program Coordinator
(304) 526-8748
Addresses
Street Address
2900 FIRST AVENUE
OUTPATIENT CENTER SUITE 10
HUNTINGTON, WV 25702-1241
Billing Address
St. Mary's Medical Center
2900 First Avenue
Huntington, WV 25702-1241
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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