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DSH510006V UNITED HOSPITAL CENTER (Active)
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Main Details
Name
UNITED HOSPITAL CENTER
Subdivision Name
Pain clinic; Neuro pain management clinic - pain clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH510006V
Medicare Provider Number
510006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/29/2023
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
United Hospital Center
James Rutkowski, VP Finance/CFO
(681) 342-1605
Primary Contact
United Hospital Center
Carlton K. Hoskinson Jr., Director
(681) 342-1560
Addresses
Street Address
107 Staunton Drive
Ground Floor
Weston, WV 26452
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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