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NORTON COMMUNITY PHYSICIAN SERVICES,LLC
DSH490001 NORTON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
NORTON COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH490001
Entity Address
100 15TH STREET N.W
NORTON, VA 24273
Medicare Provider Number
490001
Participating Start Date
4/1/2009
Last Recertification Date
9/10/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
NORTON COMMUNITY PHYSICIAN SERVICES,LLC
Pharmacy Address
DBA BALLAD HEALTH PHARMACY
1490 PARK AVE NW STE 7
NORTON, VA 24273
Pharmacy Comments
03/08/2013 name change (was COMMUNITY HOSPITAL PHARMACY)
Contract Details
Approval Date
11/14/2011
Contract Begin Date
11/25/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark T. Leonard, CEO
(276) 679-9044
Contract Pharmacy Representative
Mark T. Leonard, CEO
(276) 679-9044
Signed By Date
11/9/2011
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