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RRC510050-28 WHEELING HOSPITAL (Active)
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Main Details
Name
WHEELING HOSPITAL
Subdivision Name
Podiatry
Type
Rural Referral Center
Rural
Yes
340B ID
RRC510050-28
Medicare Provider Number
510050
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/19/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/21/2024
Last Recertification Date
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
58 16th Street
Suite 401
Wheeling, WV 26003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2022; Terminated 7/1/2024; Reinstated 1/1/2025.
11/20/2024
May 2025
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