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RRC510050-00 WHEELING HOSPITAL (Active)
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Main Details
Name
WHEELING HOSPITAL
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC510050-00
Medicare Provider Number
510050
Additional Details
Current Program Status
Active
Registration Date
1/5/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/25/2022
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
WVU Medicine Wheeling Hospital
Heidi Porter L Porter, Vice President of Quality and Regulatory Affairs
(304) 243-8377
Primary Contact
Wheeling Hospital
Robert Keith Simons, Director Of Pharmacy
(304) 243-3019
Addresses
Street Address
1 MEDICAL PARK
WHEELING, WV 26003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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