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DSH510022DS CHARLESTON AREA MEDICAL CENTER (CAMC) (Terminated)
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Main Details
Name
CHARLESTON AREA MEDICAL CENTER (CAMC)
Subdivision Name
CAMC Rheumatology - CAMC Rheumatology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510022DS
Medicare Provider Number
510022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/8/2019
Last Recertification Date
9/10/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Charleston Area Medical Center
STEPHEN BELL, VICE PRESIDENT - FINANCE
(304) 388-6251
Primary Contact
Vandalia Health
Brian Sayre, VP of Pharmacy Services
(304) 388-8917
Addresses
Street Address
4610 Kanawha Ave SW
Suite 302
South Charleston, WV 25309
Billing Address
CAMC Memorial Hospital Pharmacy
3200 MacCorkle Avenue SE
Charleston, WV 25304
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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