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ALLIED HEALTH SERVICES INC.
DSH510008A City Hospital, Inc. DBA Berkeley Medical Center
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Covered Entity Details
Entity Name
City Hospital, Inc. DBA Berkeley Medical Center
Subdivision Name
Cancer and Infusion Center, a Dept of Berkeley Medical Center
Type
Disproportionate Share Hospital
340B ID
DSH510008A
Entity Address
2000 Foundation Way
Martinsburg, WV 25401
Medicare Provider Number
510008
Outpatient Facility Provider Number
Participating Start Date
1/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
ALLIED HEALTH SERVICES INC.
Pharmacy Address
DBA ALLIED HEALTH SOLUTIONS
3040 UNIVERSITY AVE STE 1400
MORGANTOWN, WV 26505-3381
Pharmacy Comments
Contract Details
Approval Date
4/8/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Kathleen R. Quinones, VP FINANCE
(304) 260-1443
Contract Pharmacy Representative
WVU Medicine
Louis Sokos, Director of Pharmacy
(304) 598-4578
Signed By Date
4/8/2016
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