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NORTON COMMUNITY PHYSICIAN SERVICES,LLC
CAH491303-00 DICKENSON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
DICKENSON COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH491303-00
Entity Address
312 HOSPITAL DRIVE
CLINTWOOD, VA 24228-0000
Medicare Provider Number
491303
Participating Start Date
10/1/2017
Last Recertification Date
9/4/2024
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
10/10/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane Hilton, VP/CFO - Market Operations
(423) 302-3467
Contract Pharmacy Representative
MSHA
Steve Kilgore, SVP, President/CEO, BRMMC
(423) 915-5185
Signed By Date
10/10/2017
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