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STAATS PHCY & HLTH CARE
CAH511306-00 HOSPITAL DEVELOPMENT CORPORATION DBA ROANE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
HOSPITAL DEVELOPMENT CORPORATION DBA ROANE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511306-00
Entity Address
200 HOSPITAL DRIVE
SPENCER, WV 25276
Medicare Provider Number
511306
Participating Start Date
7/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
STAATS PHCY & HLTH CARE
Pharmacy Address
100 E MAIN ST
PO BOX 67
SPENCER, WV 25276-1503
Pharmacy Comments
Contract Details
Approval Date
3/13/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DOUGLAS E. BENTZ, CEO
(304) 927-6200
Contract Pharmacy Representative
BatJac of South Carolina
TIM ROBBINS, PRESIDENT
(304) 364-5193
Signed By Date
1/15/2013
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