340B Drug Pricing Program Database
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DSH510008C City Hospital, Inc. DBA Berkeley Medical Center (Active)
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Main Details
Name
City Hospital, Inc. DBA Berkeley Medical Center
Subdivision Name
Outpatient Surgery - MOB3 Outpatient Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510008C
Medicare Provider Number
510008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/18/2021
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
WVU Medicine East
Grover Glendon Kerns, VP of Finance
(304) 260-1443
Primary Contact
Berkeley Medical Center
Christian Miller, Pharmacy Director
(304) 264-1219
Addresses
Street Address
880 N. Tennessee Ave
Suite 106
Martinsburg, WV 25401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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