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ALLIED HEALTH SERVICES INC.
DSH510013 REYNOLDS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
REYNOLDS MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510013
Entity Address
800 WHEELING AVENUE
GLEN DALE, WV 26038
Medicare Provider Number
510013
Participating Start Date
7/1/2021
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
ALLIED HEALTH SERVICES INC.
Pharmacy Address
DBA ALLIED HEALTH SOLUTIONS
3040 UNIVERSITY AVE STE 1400
MORGANTOWN, WV 26505-3381
Pharmacy Comments
Contract Details
Approval Date
7/1/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/16/2023
Ownership change
Contacts
Covered Entity Signing Official
Alex Craig Inclan, CFO
(304) 843-3240
Contract Pharmacy Representative
WVU Medicine
Louis Sokos, Director of Pharmacy
(304) 598-4578
Signed By Date
7/1/2021
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