340B Drug Pricing Program Database


DSH230236X METROPOLITAN HOSPITAL (Active) - information as of 4/29/2025 12:33:29 AM

Main Details
METROPOLITAN HOSPITAL
Metro Health Park East / Outpatient Surgery Center
Disproportionate Share Hospital
Yes
DSH230236X
230236


Additional Details
Active
1/16/2017
4/1/2017
3/11/2017
8/21/2024

Contacts

University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(734) 936-4338

University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867

Addresses

4055 CASCADE RD SE
METRO HEALTH PARK EAST OUTPATIENT SURGERY CENTER
GRAND RAPIDS, MI 49546

Metro Health Accounts Payable
PO Box 911
Wyoming, MI 49519-0911


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Metro Health Park East Pharmacy
4055 Cascade Road SE
Suite 104
Grand Rapids, MI 49546-0000
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH230236AChildDSHMETROPOLITAN HOSPITALUMH-WEST - CANCER CENTER5950 METRO WAYWYOMINGMIActive
DSH230236AAChildDSHMETROPOLITAN HOSPITALUMH-W - SOUTHWEST - DIABETIC EDUCATION (80550) - DIABETES CARE2215 44TH STREET SWWYOMINGMIActive
DSH230236ABChildDSHMETROPOLITAN HOSPITALUMH-W - EAST CAMPUS - PULMONOLOGY (94500) - SPECIALTY CARE - PULM - EAST CAMPUS(PE) 4055 CASCADE ROAD SEGRAND RAPIDSMIActive
DSH230236ACChildDSHMETROPOLITAN HOSPITALUMH-W - THORACIC SURGERY (94600) - THORACIC SURGERY(PB) 2122 HEALTH DRIVE SWWYOMINGMIActive
DSH230236ADChildDSHMETROPOLITAN HOSPITALUMH-W INFECTIOUS DISEASE (94300) - SPECIALTY CARE - ID(PB) 2122 HEALTH DRIVE SWWYOMINGMIActive
DSH230236AEChildDSHMETROPOLITAN HOSPITALUMH-W - EAST CAMPUS - PODIATRY (91750) - SPECIALTY CARE - PODIATRY(PE) 4055 CASCADE ROAD SEGRAND RAPIDSMIActive
DSH230236AFChildDSHMETROPOLITAN HOSPITALUMH-WEST - WOUND CLINIC (71210) - WOUND CARE(PB) 2122 HEALTH DRIVE SWWYOMINGMIActive
DSH230236AGChildDSHMETROPOLITAN HOSPITALUMH-W - EXECUTIVE HEALTH (83820) - PATIENT CARE(PB) 2122 Health Drive SWWYOMINGMIActive
DSH230236AHChildDSHMETROPOLITAN HOSPITALUMH West East Campus Diabetic Edu (80550) - Diabetic Education4055 Cascade Road SEGrand RapidsMIActive
DSH230236AJChildDSHMETROPOLITAN HOSPITALUMH West Healthpark ENT - Ears, Nose, Throat2093 Health Dr SWWyomingMIActive
DSH230236AKChildDSHMETROPOLITAN HOSPITALUMH West Southwest Podiatry (91750) - Podiatry2215 44th SWWyomingMIActive
DSH230236ALChildDSHMETROPOLITAN HOSPITALUMH West Wayland Pulmonology (94500) - Pulmonology1113 W. Superior StWaylandMIActive
DSH230236AMChildDSHMETROPOLITAN HOSPITALUMH West Park East Gastro (94200) - Gastro4055 Cascade Rd SEGrand RapidsMIActive
DSH230236ANChildDSHMETROPOLITAN HOSPITALUMH West Cascade FP (91600) - Family Practice4300 Cascade Road SEGrand RapidsMIActive
DSH230236APChildDSHMETROPOLITAN HOSPITALUMH West Prof Bld Neurology (71750) - Neuruology2122 Health Dr SWWyomingMIActive
DSH230236AQChildDSHMETROPOLITAN HOSPITALUMH West Prof Bld Heart and Vascular - Heart and Vascular clinic2122 Health Drive SWWyomingMIActive
DSH230236ARChildDSHMETROPOLITAN HOSPITALUMH West Prof Bld H&V Cardio Rehab (70302) - Heart and Vascular rehab2122 Health Drive SWWyomingMIActive
DSH230236ASChildDSHMETROPOLITAN HOSPITALUMH West Prof Bld Vein Therapy (70317) - Vein Therapy2122 Health Drive SWWyomingMIActive
DSH230236ATChildDSHMETROPOLITAN HOSPITALUMHealth-West HealthPark Colorectal Surgery (94250) - Colorectal Surgery2093 Health Dr SWWyomingMIApproved
DSH230236BChildDSHMETROPOLITAN HOSPITALMETRO HEALTH ALLENDALE4830 BECKER DRIVEALLENDALEMITerminated
DSH230236CChildDSHMETROPOLITAN HOSPITALMETROPOLITAN HOSPITAL / Metro Health Podiatry4200 N DIVISION AVENUECOMSTOCK PARKMIActive
DSH230236DChildDSHMETROPOLITAN HOSPITALMetro Health Endoscopy2093 Health Drive SWWyomingMIActive
DSH230236EChildDSHMETROPOLITAN HOSPITALMETRO HEALTH / Gastroenterology2093 Health Drive SWWYOMINGMIActive
DSH230236FChildDSHMETROPOLITAN HOSPITALMETRO HEALTH / Surgical Oncology2122 HEALTH DRIVE SWWYOMINGMIActive
DSH230236GChildDSHMETROPOLITAN HOSPITALMetro Health Pulmonology2122 Health Drive SWWyomingMIActive
DSH230236HChildDSHMETROPOLITAN HOSPITALMETRO HEALTH / ENT4055 Cascade Road SEGRAND RAPIDSMIActive
DSH230236JChildDSHMETROPOLITAN HOSPITALMETRO HEALTH SPORTS MEDICINE CENTER4300 Cascade Rd SEGrand RapidsMITerminated
DSH230236KChildDSHMETROPOLITAN HOSPITALMETRO HEALTH ROCKFORD4685 BELDING RDROCKFORDMIActive
DSH230236LChildDSHMETROPOLITAN HOSPITALMETRO HEALTH COMSTOCK PARK4200 N DIVISIONCOMSTOCKMIActive
DSH230236MChildDSHMETROPOLITAN HOSPITALMETRO HEALTH CEDAR SPRINGS14211 WHITE CREEK AVE NECEDAR SPRINGSMIActive
DSH230236NChildDSHMETROPOLITAN HOSPITALMETRO HEALTH / Wayland1113 W. SUPERIOR STREETWAYLANDMIActive
DSH230236PChildDSHMETROPOLITAN HOSPITALMetro Health Neurology2122 Health DriveWyomingMIActive
DSH230236QChildDSHMETROPOLITAN HOSPITALHEALTH PARK / Internal Medicine2215 44th Street SWWYOMINGMITerminated
DSH230236RChildDSHMETROPOLITAN HOSPITALMETRO HEALTH BELTLINE1310 East Beltline SEGRAND RAPIDSMIActive
DSH230236SChildDSHMETROPOLITAN HOSPITALMETRO HEALTH SOUTHWEST2215 44TH ST SWWYOMINGMIActive
DSH230236TChildDSHMETROPOLITAN HOSPITALMETRO HEALTH HUDSONVILLE3912 32ND AVEHUDSONVILLEMIActive
DSH230236UChildDSHMETROPOLITAN HOSPITALUMH-WEST - CALEDONIA HEALTH CENTER8941 N RODGERS CT SECALEDONIAMIActive
DSH230236VChildDSHMETROPOLITAN HOSPITALMETRO HEALTH JENISON7686 GEORGETOWN CENTER DRIVEJENISONMIActive
DSH230236WChildDSHMETROPOLITAN HOSPITALUMH-WEST - COMMUNITY HEALTH CENTER781 36TH ST SEWYOMINGMIActive
DSH230236XChildDSHMETROPOLITAN HOSPITALMetro Health Park East / Outpatient Surgery Center4055 CASCADE RD SEGRAND RAPIDSMIActive
DSH230236YChildDSHMETROPOLITAN HOSPITALUNIVERSITY OF MICHIGAN HEALTH-WEST - RHEUMATOLOGY / INFUSION CENTER - SUITE 106 - RHEUMATOLOGY / INFUSION CENTER4055 CASCADE ROAD SEGRAND RAPIDSMIActive
DSH230236ZChildDSHMETROPOLITAN HOSPITALUMH-W - SOUTHWEST ENT (91200) - PATIENT CARE - ENT2215 44TH STREET SWWYOMINGMIActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateGroup Change RequestLee, Janine M Clinical Pharmacist, 340B Program University of Michigan 7349368210Gillespie, Cindy Assistant Director, Pharmacy 340B Program University of Michigan 73461558672/12/2025 11:07 AM
ContactsAuthorizing OfficialUpdateChange RequestMiller, David President University of Michigan Health Systems University of Michigan Hospitals and Health Centers 7346476313Habers, Dana Chief Operating Officer, Pharmacy University of Michigan 734936433812/17/2024 12:10 PM
ContactsPrimary ContactUpdateProfile Change RequestLee, Janine M Assistant Direct 340B Program University of Michigan 7349368210Lee, Janine M Clinical Pharmacist, 340B Program University of Michigan 73493682108/22/2024 9:55 AM
DetailsLast Recertification DateUpdateRecertification8/14/2023 9:23:12 AM8/21/2024 11:22:40 AM8/21/2024 11:22 AM
ContactsPrimary ContactUpdateGroup Change RequestHaverkamp, Peter Joseph Director of Pharmacy Services Metro Health Hospital 6162527216Lee, Janine M Assistant Direct 340B Program University of Michigan 73493682107/23/2024 3:48 PM
ContactsAuthorizing OfficialUpdateChange RequestKurtz, Kris CFO Metro Health Hospital 6162524844Miller, David President University of Michigan Health Systems University of Michigan Hospitals and Health Centers 73464763133/6/2024 9:55 AM
DetailsLast Recertification DateUpdateRecertification8/24/2022 9:20:25 AM8/14/2023 9:23:12 AM8/14/2023 9:23 AM
DetailsLast Recertification DateUpdateRecertification9/10/2021 9:14:11 AM8/24/2022 9:20:25 AM8/24/2022 9:20 AM
DetailsLast Recertification DateUpdateRecertification9/10/2020 1:31:12 PM9/10/2021 9:14:11 AM9/10/2021 9:14 AM
DetailsLast Recertification DateUpdateRecertification8/22/2019 11:31:54 AM9/10/2020 1:31:12 PM9/10/2020 1:31 PM
AddressesMain AddressUpdateChange Request 4055 CASCADE RD SE SUITE 200 METRO HEALTH PARK EAST OUTPATIENT SURGERY CENTER GRAND RAPIDS, MI 49546-2149 4055 CASCADE RD SE METRO HEALTH PARK EAST OUTPATIENT SURGERY CENTER GRAND RAPIDS, MI 495462/20/2020 10:22 AM
DetailsLast Recertification DateUpdateRecertification9/10/2018 1:11:25 PM8/22/2019 11:31:54 AM8/22/2019 11:31 AM
DetailsLast Recertification DateUpdateRecertification11/21/2017 11:42:42 AM9/10/2018 1:11:25 PM9/10/2018 1:11 PM
AddressesShipping AddressInsertChange Request Metro Health Park East Pharmacy 4055 Cascade Road SE Suite 104 Grand Rapids, MI 49546-00004/17/2018 7:18 AM
ContactsAuthorizing OfficialUpdateChange RequestFAAS, MICHAEL D. CEO Metropolitan Hospital 6162524788Kurtz, Kris CFO Metro Health Hospital 61625248444/11/2018 9:09 AM
DetailsLast Recertification DateUpdateRecertification 11/21/2017 11:42:42 AM11/21/2017 11:42 AM
ContactsAuthorizing OfficialUpdate FAAS, MICHAEL D. CEO 6162524788FAAS, MICHAEL D. CEO Metropolitan Hospital 616252478811/7/2017 2:35 PM
ContactsSigned ByUpdate FAAS, MICHAEL D. CEO 6162524788FAAS, MICHAEL D. CEO Metropolitan Hospital 616252478811/7/2017 2:35 PM
ContactsPrimary ContactUpdate Haverkamp, Peter Director of Pharmacy Services 6162527216Haverkamp, Peter Joseph Director of Pharmacy Services Metro Health Hospital 616252721610/18/2017 1:08 PM
ContactsAuthorizing OfficialInsert  FAAS, MICHAEL D. CEO 61625247887/11/2017 1:45 PM
ContactsSigned ByInsert  FAAS, MICHAEL D. CEO 61625247887/11/2017 1:45 PM
ContactsPrimary ContactInsert  Haverkamp, Peter Director of Pharmacy Services 61625272163/11/2017 11:22 AM
AddressesMain AddressInsert   4055 CASCADE RD SE SUITE 200 METRO HEALTH PARK EAST OUTPATIENT SURGERY CENTER GRAND RAPIDS, MI 49546-21493/11/2017 11:22 AM
AddressesBilling AddressInsert  Metro Health Accounts Payable PO Box 911 Wyoming, MI 49519-09113/11/2017 11:22 AM
DatesParticipating Approval DateUpdate  3/11/2017 12:00:00 AM3/11/2017 11:22 AM
DetailsStateUpdate PendingActive3/11/2017 11:22 AM
DatesStart DateUpdate  4/1/2017 12:00:00 AM3/11/2017 11:22 AM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_75034DSH230236X2/10/2017 2:39 PM
DetailsEntity SubnameUpdate METROPOLITAN HOSPITAL / Metro Health Park East Outpatient Surgery CenterMetro Health Park East / Outpatient Surgery Center2/10/2017 2:39 PM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_750341/16/2017 11:19 AM
DetailsLast Recertification DateInsert   1/16/2017 11:19 AM
DetailsGrant NumberInsert   1/16/2017 11:19 AM
Details340B IDInsert   1/16/2017 11:19 AM
DetailsIs Authorizing Official EHB DataInsert   1/16/2017 11:19 AM
DatesLast Date That 340B Drugs PurchasedInsert   1/16/2017 11:19 AM
DetailsMedicare Provider NumberInsert  2302361/16/2017 11:19 AM
DetailsEntity NameInsert  METROPOLITAN HOSPITAL1/16/2017 11:19 AM
DetailsProgram CodeInsert  DSH1/16/2017 11:19 AM
DetailsEntity SubnameInsert  METROPOLITAN HOSPITAL / Metro Health Park East Outpatient Surgery Center1/16/2017 11:19 AM
DatesParticipating Approval DateInsert   1/16/2017 11:19 AM
DetailsStateInsert  Pending1/16/2017 11:19 AM
DatesRegistration DateInsert  1/16/2017 12:00:00 AM1/16/2017 11:19 AM
DatesSigned By DateInsert  1/16/2017 12:00:00 AM1/16/2017 11:19 AM
DatesStart DateInsert   1/16/2017 11:19 AM
TerminationsTermination CommentsInsert   1/16/2017 11:19 AM
TerminationsTermination DateInsert   1/16/2017 11:19 AM
TerminationsTermination Effective DateInsert   1/16/2017 11:19 AM
TerminationsTermination ReasonInsert   1/16/2017 11:19 AM