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RRC510050-37 WHEELING HOSPITAL (Terminated)
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Main Details
Name
WHEELING HOSPITAL
Subdivision Name
HVI at Wheeling Clinic - Cardiology
Type
Rural Referral Center
Rural
Yes
340B ID
RRC510050-37
Medicare Provider Number
510050
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/18/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/9/2022
Last Recertification Date
Termination Date
Termination Reason
7/1/2022
Site closure
Contacts
Authorizing Official
Wheeling Hospital
Joseph August Wenger, Chief Financial Officer
(304) 243-3801
Primary Contact
Wheeling Hospital
Robert Keith Simons, Director Of Pharmacy
(304) 243-3019
Addresses
Street Address
58 - 16th Street
Suite 403
403
Wheeling, WV 26003
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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