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PLEASANT VALLEY HOSPITAL
DSH510012 PLEASANT VALLEY HOSPITAL
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Covered Entity Details
Entity Name
PLEASANT VALLEY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510012
Entity Address
2520 VALLEY DRIVE
POINT PLEASANT, WV 25550
Medicare Provider Number
510012
Participating Start Date
7/1/2006
Last Recertification Date
8/14/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
PLEASANT VALLEY HOSPITAL
Pharmacy Address
DBA RIVERS HEALTH
2520 VALLEY DR
POINT PLEASANT, WV 25550
Pharmacy Comments
Contract Details
Approval Date
4/6/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
Zach Kerns, CHIEF FINANCIAL OFFICER
(304) 675-6270
Contract Pharmacy Representative
Zach Kearns, CFO
(304) 674-2412
Signed By Date
4/6/2017
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