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CAH511312-05 PRESTON MEMORIAL HOSPITAL (Active)
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Main Details
Name
PRESTON MEMORIAL HOSPITAL
Subdivision Name
PRESTON MEMORIAL PRIMARY CARE-MILES - Primary Care
Type
Critical Access Hospital
Rural
No
340B ID
CAH511312-05
Medicare Provider Number
511312
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/1/2023
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Preston Memorial Hospital
KEVIN GESSLER, Vice President Financial Services
(304) 329-1400 Ext: 1120
Primary Contact
Mon Health Preston Memorial Hospital
Jennifer Cunningham, Director of Pharmacy
(304) 329-1400 Ext: 3600
Addresses
Street Address
110 N PRICE ST
KINGWOOD, WV 26537-1120
Billing Address
Preston Memorial Hospital
150 Memorial Drive
Kingwood, WV 26537
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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