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CAH491302-13 CARILION GILES COMMUNITY HOSPITAL (Active)
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Main Details
Name
CARILION GILES COMMUNITY HOSPITAL
Subdivision Name
Carilion Cardiology Martinsville - Carilion Cardiology Martinsville
Type
Critical Access Hospital
Rural
No
340B ID
CAH491302-13
Medicare Provider Number
491302
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/20/2021
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Carilion Clinic
Tim Auwarter, VP Hospital Operations
(540) 981-7804
Primary Contact
Carilion
Trina Epperly, 340B Program Director
(540) 224-3004
Addresses
Street Address
1107 B Brookdale St
Martinsville, VA 24112
Billing Address
Carilion Giles Community Hospital
159 Hartley Way
Pearisburg, VA 24134
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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