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BIOSCRIP INFUSION SERVICES, LLC
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
BIOSCRIP INFUSION SERVICES, LLC
Pharmacy Address
DBA BIOSCRIP INFUSION SERVICES
2600 MIDDLETOWN COMMONS STE 131
WHITE HALL, WV 26554-2859
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/5/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JEFF POWELSON, CEO
(304) 457-8155
Contract Pharmacy Representative
BioScrip
Tanya Sutton, General Manager
(304) 534-7080
Signed By Date
7/14/2015
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