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DAVIS MEMORIAL HOSPITAL DBA HEALTH CENTE
CAH511300-00 Broaddus Hospital Association, Inc. DBA Broaddus Hospital
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Covered Entity Details
Entity Name
Broaddus Hospital Association, Inc. DBA Broaddus Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511300-00
Entity Address
# 1 HEALTHCARE DRIVE
PHILIPPI, WV 26416
Medicare Provider Number
511300
Participating Start Date
10/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
DAVIS MEMORIAL HOSPITAL DBA HEALTH CENTE
Pharmacy Address
812 GORMAN AVE
ELKINS, WV 26241
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DANA GOULD, CEO
(304) 457-8155
Contract Pharmacy Representative
Davis Health System -
Ronald Andro, Senior Vice President
(304) 636-3300
Signed By Date
1/14/2025
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