340B Drug Pricing Program Database
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DSH510058U CAMDEN-CLARK MEMORIAL HOSP (Active)
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Main Details
Name
CAMDEN-CLARK MEMORIAL HOSP
Subdivision Name
Diabetes and Endocrine - Diabetes and Endocrine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510058U
Medicare Provider Number
510058
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/18/2023
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Camden Clark Medical Center DBA Camden-Clark Memorial Hospital
Kyle Anthony Pierson, CFO
(304) 424-2202
Primary Contact
WVU Medicine
Barbra Sue May, Enterprise Manager, 340B Program
(304) 290-9830
Addresses
Street Address
1901 Ann Street
Parkersburg, WV 26101
Billing Address
PO box 8279
PO Box 3
Morgantown, WV 26506-8279
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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