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I.G.G. of AMERICA, Inc. d/b/a US Bioservices
DSH510022 CHARLESTON AREA MEDICAL CENTER (CAMC)
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Covered Entity Details
Entity Name
CHARLESTON AREA MEDICAL CENTER (CAMC)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510022
Entity Address
501 MORRIS STREET
CHARLESTON, WV 25301
Medicare Provider Number
510022
Participating Start Date
9/22/2005
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
I.G.G. of AMERICA, Inc. d/b/a US Bioservices
Pharmacy Address
514 PROGRESS DRIVE
SUITE X
LINTHICUM, MD 21090
Pharmacy Comments
Contract Details
Approval Date
7/2/2010
Contract Begin Date
7/2/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2022
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/21/2010
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