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CLAIRE-FRANCES HEALTH SERVICES
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
CLAIRE-FRANCES HEALTH SERVICES
Pharmacy Address
DBA INFUSION SOLUTIONS
5528 MACCORKLE AVE SE
SUITE 101
CHARLESTON, WV 25304
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEPHEN BELL, VICE PRESIDENT - FINANCE
(304) 388-6251
Contract Pharmacy Representative
Blake Gillum, Director of Pharmacy/Operations Manager
(888) 446-6348 Ext: 212
Signed By Date
4/14/2017
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