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CH03090Y Shenandoah Valley Medical System, Incorporated (Active)
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Main Details
Name
Shenandoah Valley Medical System, Incorporated
Subdivision Name
Shenandoah Community Health Martinsburg High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035696
340B ID
CH03090Y
Grant Number
H80CS00781
Additional Details
Current Program Status
Active
Registration Date
4/11/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/11/2023
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
701 S Queen St
Martinsburg, WV 25401-3116
Billing Address
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
P.O. Box 1146
Martinsburg, WV 25402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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