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WV UNIVERSITY HOSPITALS INC.
DSH510058 CAMDEN-CLARK MEMORIAL HOSP
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Covered Entity Details
Entity Name
CAMDEN-CLARK MEMORIAL HOSP
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510058
Entity Address
800 GARFIELD AVENUE
PARKERSBURG, WV 26101
Medicare Provider Number
510058
Participating Start Date
10/1/2015
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WV UNIVERSITY HOSPITALS INC.
Pharmacy Address
MOUNTAINEER PHARMACY
390 BIRCH ST
MORGANTOWN, WV 26505-6894
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David K. McClure, President/CEO
(304) 424-2204
Contract Pharmacy Representative
WVU Medicine
Joedell Gonzaga, Director Ambulatory Pharmacy Services
(304) 598-4000 Ext: 73034
Signed By Date
10/13/2017
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