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GENOA HEALTHCARE LLC
CH031250 BLUESTONE HEALTH ASSOCIATION, INC.
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Covered Entity Details
Entity Name
BLUESTONE HEALTH ASSOCIATION, INC.
Subdivision Name
BLUESTONE HEALTH ASSOCIATION, INC.
Type
HRSA-Funded Health Center
340B ID
CH031250
Entity Address
3997 Beckley Rd
Princeton, WV 24740-7660
Grant Number
H80CS00450
Participating Start Date
7/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
200 12TH STREET EXTENSION
PRINCETON, WV 24740
Pharmacy Comments
Contract Details
Approval Date
1/10/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Linda Hutchens, CEO
(304) 431-5499 Ext: 1168
Contract Pharmacy Representative
Optum
Nancy McCutcheon, Sr. VP of Strategic Sales
(651) 983-0677
Signed By Date
1/10/2022
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