Covered Entity Details

DSH230142G Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital (Active) - information as of 5/20/2025 11:45:23 PM

Main Details

Name

Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital

Subdivision Name

Corewell Health Wayne Hospital Internal Medicine - 7330 N Canton Center Rd

Type

Disproportionate Share Hospital

Rural

340B ID

DSH230142G

Medicare Provider Number

230142

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

4/10/2017

Participating Start Date

7/1/2017

Participating Approval Date

5/11/2017

Last Recertification Date

9/4/2024

Contacts

Authorizing Official

Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810

Primary Contact

Corewell Health
Thomas Schaible, Mgr, Pharmacy CHE
(947) 522-1169

Addresses

Street Address

7330 North Canton Center Road Suite 209
Canton, MI 48187

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MI		1295785285

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH230142A	Child	DSH	OAKWOOD ANNAPOLIS HOSPITAL	Oakwood Healthcare Center Canton	7300 North Canton Center Rd	Canton	MI	Terminated
DSH230142B	Child	DSH	Oakwood Healthcare, Inc. d/b/a Beaumont Hospital – Wayne	Canton Imaging North/CT Scan North Canton	7300 North Canton Center Rd	Canton	MI	Terminated
DSH230142C	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Corewell Health Family Medicine - Belleville	201 3rd Street Suite 200	Belleville	MI	Terminated
DSH230142D	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Corewell Health Wayne Hospital Family Medicine - 7330 N Canton Center Rd	7330 North Canton Center Road Suite 111	Canton	MI	Active
DSH230142E	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Beaumont Family Medicine - Garden City	29150 Ford Road	Garden City	MI	Terminated
DSH230142F	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Corewell Health Wayne Hospital Family Medicine - Westland	2001 South Merriman Suite 100	Westland	MI	Active
DSH230142G	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Corewell Health Wayne Hospital Internal Medicine - 7330 N Canton Center Rd	7330 North Canton Center Road Suite 209	Canton	MI	Active
DSH230142H	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Beaumont OB/GYN - Canton	7330 North Canton Center Road Suite 210	Canton	MI	Active
DSH230142J	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Corewell Health Wayne Hospital Pediatrics - 7330 N Canton Center Rd	7330 North Canton Center Road Suite 216	Canton	MI	Active
DSH230142K	Child	DSH	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	Corewell Health Wayne Hospital Emergency - 7300 N Canton Center Rd	7300 North Canton Center Road	Canton	MI	Active
DSH230142L	Child	DSH	Oakwood Healthcare, Inc. d/b/a Beaumont Hospital – Wayne	Oakwood Healthcare Center Westland / Family Medicine / Psychiatry - Psychiatry	2001 South Merriman	Westland	MI	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Dalal, Hardik SVP, Finance CHW Corewell Health 3127710810	Dalal, Hardik SVP, Finance & System-wide Pharmacy Finance Corewell Health 3127710810	2/24/2025 6:26 AM
Details	Last Recertification Date	Update	Recertification	8/21/2023 2:45:23 PM	9/4/2024 8:49:51 PM	9/4/2024 8:49 PM
Details	Entity Subname	Update	Recertification	Beaumont Internal Medicine Practice - Canton	Corewell Health Wayne Hospital Internal Medicine - 7330 N Canton Center Rd	9/4/2024 8:49 PM
Details	Entity Name	Update	Recertification	Oakwood Healthcare, Inc. d/b/a Beaumont Hospital – Wayne	Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital	8/21/2024 9:26 AM
Contacts	Primary Contact	Update	Profile Change Request	Schaible, Thomas 340B Pharmacy Manager Corewell Health 9475221169	Schaible, Thomas Mgr, Pharmacy CHE Corewell Health 9475221169	1/30/2024 8:36 AM
Contacts	Primary Contact	Update	PC Change Request	Taylor, Richard Director of Pharmacy Beaumont Hospital Wayne 7344676754	Schaible, Thomas 340B Pharmacy Manager Corewell Health 9475221169	1/17/2024 9:10 AM
Contacts	Authorizing Official	Update	AO Change Request	Susick, Nancy Ann COO Beaumont Health 9475223349	Dalal, Hardik SVP, Finance CHW Corewell Health 3127710810	12/13/2023 6:17 AM
Details	Last Recertification Date	Update	Recertification	8/29/2022 2:26:13 PM	8/21/2023 2:45:23 PM	8/21/2023 2:45 PM
Details	Entity Subname	Update	Change Request	Oakwood Healthcare Center Canton / Internal Medicine	Beaumont Internal Medicine Practice - Canton	5/11/2023 6:20 AM
Contacts	Authorizing Official	Update	AO Change Request	Odom, Lee Ann President, Shared Services Beaumont Health 9475222653	Susick, Nancy Ann COO Beaumont Health 9475223349	10/11/2022 7:56 AM
Details	Last Recertification Date	Update	Recertification	8/30/2021 9:33:57 AM	8/29/2022 2:26:13 PM	8/29/2022 2:26 PM
Details	Last Recertification Date	Update	Recertification	8/31/2020 4:24:48 PM	8/30/2021 9:33:57 AM	8/30/2021 9:33 AM
Contacts	Authorizing Official	Update	AO Change Request	Wilson, Carolyn Chief Operating Officer Beaumont Health 9475223338	Odom, Lee Ann President, Shared Services Beaumont Health 9475222653	8/20/2021 3:32 PM
Medicaid Billing	NPI: State	Update	Recertification		MI	8/31/2020 4:24 PM
Details	Last Recertification Date	Update	Recertification	9/6/2019 7:59:13 AM	8/31/2020 4:24:48 PM	8/31/2020 4:24 PM
Contacts	Authorizing Official	Update	Profile Change Request	Wilson, Carolyn Chief Operating Officer Beaumont Health 2482133338	Wilson, Carolyn Chief Operating Officer Beaumont Health 9475223338	6/2/2020 8:31 AM
Contacts	Signed By	Update	Profile Change Request	Wilson, Carolyn Chief Operating Officer Beaumont Health 2482133338	Wilson, Carolyn Chief Operating Officer Beaumont Health 9475223338	6/2/2020 8:31 AM
Details	Entity Name	Update	Change Request	OAKWOOD ANNAPOLIS HOSPITAL	Oakwood Healthcare, Inc. d/b/a Beaumont Hospital – Wayne	10/22/2019 3:41 PM
Contacts	Primary Contact	Update	Recertification	Taylor, Sandra Pharmacy Director Oakwood Annapolis 7344674177	Taylor, Richard Director of Pharmacy Beaumont Hospital Wayne 7344676754	9/6/2019 7:59 AM
Details	Last Recertification Date	Update	Recertification	8/16/2018 10:45:32 AM	9/6/2019 7:59:13 AM	9/6/2019 7:59 AM
Addresses	Main Address	Update	Change Request	7300 North Canton Center Road Suite 209 Canton, MI 48187	7330 North Canton Center Road Suite 209 Canton, MI 48187	10/22/2018 12:30 PM
Details	Last Recertification Date	Update	Recertification	11/29/2017 2:48:43 PM	8/16/2018 10:45:32 AM	8/16/2018 10:45 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	230142 (MI)		2/7/2018 5:14 PM
Details	Last Recertification Date	Update	Recertification		11/29/2017 2:48:43 PM	11/29/2017 2:48 PM
Contacts	Primary Contact	Update		Taylor, Sandra Pharmacy Director 7344674177	Taylor, Sandra Pharmacy Director Oakwood Annapolis 7344674177	10/20/2017 12:16 PM
Contacts	Authorizing Official	Update		Wilson, Carolyn Chief Operating Officer 2482133338	Wilson, Carolyn Chief Operating Officer Beaumont Health 2482133338	10/12/2017 10:32 AM
Contacts	Signed By	Update		Wilson, Carolyn Chief Operating Officer 2482133338	Wilson, Carolyn Chief Operating Officer Beaumont Health 2482133338	10/12/2017 10:32 AM
Contacts	Authorizing Official	Insert			Wilson, Carolyn Chief Operating Officer 2482133338	7/3/2017 1:01 PM
Contacts	Signed By	Insert			Wilson, Carolyn Chief Operating Officer 2482133338	7/3/2017 1:01 PM
Addresses	Main Address	Insert			7300 North Canton Center Road Suite 209 Canton, MI 48187	5/11/2017 3:49 PM
Contacts	Primary Contact	Insert			Taylor, Sandra Pharmacy Director 7344674177	5/11/2017 3:49 PM
Dates	Participating Approval Date	Update			5/11/2017 12:00:00 AM	5/11/2017 3:48 PM
Details	State	Update		Pending	Active	5/11/2017 3:48 PM
Dates	Start Date	Update			7/1/2017 12:00:00 AM	5/11/2017 3:48 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_76282	DSH230142G	5/9/2017 9:07 AM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_76282	4/10/2017 9:22 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	4/10/2017 9:22 AM
Medicaid Billing	Medicaid: Number	Insert			230142	4/10/2017 9:22 AM
Medicaid Billing	Medicaid: State	Insert			MI	4/10/2017 9:22 AM
Medicaid Billing	NPI: Number	Insert			1295785285	4/10/2017 9:22 AM
Details	Last Recertification Date	Insert				4/10/2017 9:22 AM
Details	Grant Number	Insert				4/10/2017 9:22 AM
Details	340B ID	Insert				4/10/2017 9:22 AM
Details	Is Authorizing Official EHB Data	Insert				4/10/2017 9:22 AM
Dates	Last Date That 340B Drugs Purchased	Insert				4/10/2017 9:22 AM
Details	Medicare Provider Number	Insert			230142	4/10/2017 9:22 AM
Details	Entity Name	Insert			OAKWOOD ANNAPOLIS HOSPITAL	4/10/2017 9:22 AM
Details	Program Code	Insert			DSH	4/10/2017 9:22 AM
Details	Entity Subname	Insert			Oakwood Healthcare Center Canton / Internal Medicine	4/10/2017 9:22 AM
Dates	Participating Approval Date	Insert				4/10/2017 9:22 AM
Details	State	Insert			Pending	4/10/2017 9:22 AM
Dates	Registration Date	Insert			4/10/2017 12:00:00 AM	4/10/2017 9:22 AM
Dates	Signed By Date	Insert			4/10/2017 12:00:00 AM	4/10/2017 9:22 AM
Dates	Start Date	Insert				4/10/2017 9:22 AM
Terminations	Termination Comments	Insert				4/10/2017 9:22 AM
Terminations	Termination Date	Insert				4/10/2017 9:22 AM
Terminations	Termination Effective Date	Insert				4/10/2017 9:22 AM
Terminations	Termination Reason	Insert				4/10/2017 9:22 AM