340B Drug Pricing Program Database
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DSH510007BB ST. MARYS MEDICAL CENTER INC. (Active)
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Main Details
Name
ST. MARYS MEDICAL CENTER INC.
Subdivision Name
HIMG - Perioperative Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510007BB
Medicare Provider Number
510007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/9/2024
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
St. Mary's Medical Center
Aaron C Blevins, Chief Pharmacy Officer
(304) 526-8250
Primary Contact
St. Mary's Medical Center
Kathy Walker, 340B Program Coordinator
(304) 526-8748
Addresses
Street Address
3075 US Route 60
STE B420
Huntington, WV 25705-8859
Billing Address
St. Mary's Medical Center Inc.
2900 First Avenue
Huntington, WV 25702-1241
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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