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HEALTH CENTER PHARMACY
DSH510030 Davis Memorial Hospital DBA DAVIS MEDICAL CENTER
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Covered Entity Details
Entity Name
Davis Memorial Hospital DBA DAVIS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510030
Entity Address
812 Gorman Avenue
ELKINS, WV 26241
Medicare Provider Number
510030
Participating Start Date
1/1/2005
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HEALTH CENTER PHARMACY
Pharmacy Address
812 GORMAN AVE
ELKINS, WV 26241
Pharmacy Comments
Contract Details
Approval Date
2/10/2012
Contract Begin Date
2/10/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Ownership change
Contacts
Covered Entity Signing Official
REBECCA J. HAMMER, VICE PRESIDENT FOR FINANCE
(304) 637-3156
Contract Pharmacy Representative
Davis Medical Center
Patrick J Bosley, Director of Pharmacy
(304) 637-3294
Signed By Date
1/24/2012
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