340B Drug Pricing Program Database
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CH03090X Shenandoah Valley Medical System, Incorporated (Active)
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Main Details
Name
Shenandoah Valley Medical System, Incorporated
Subdivision Name
Shenandoah Community Health Burke St Elementary
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032773
340B ID
CH03090X
Grant Number
H80CS00781
Additional Details
Current Program Status
Active
Registration Date
10/12/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
Shenandoah Valley Medical System, Incorporated
Michael Hassing, CEO
(304) 596-2610 Ext: 1062
Primary Contact
Shenandoah Valley Medical System, Inc
Stephen W McCahan, Pharmacy Director
(304) 596-2244
Addresses
Street Address
422 W Burke St
Martinsburg, WV 25401
Billing Address
Shenandoah Valley Medical System, Inc.
PO BOX 1146
Martinsburg, WV 25402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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