Covered Entity Details

DSH230217H Oaklawn Hospital (Terminated) - information as of 6/5/2025 2:42:48 PM

Main Details

Name

Oaklawn Hospital

Subdivision Name

OMG OB SUITE - Family Practice/Obstetrics

Type

Disproportionate Share Hospital

Rural

340B ID

DSH230217H

Medicare Provider Number

230217

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

7/3/2018

Participating Start Date

10/1/2018

Participating Approval Date

7/5/2018

Last Recertification Date

8/23/2019

Termination Date
Termination Reason

7/1/2020
Site closure

Contacts

Authorizing Official

Oaklawn Hospital
Andrew James Poole, CFO
(269) 789-3936

Primary Contact

Oaklawn Hospital
Nicole L. Patrick, Pharmacy Informatics Coordinator
(269) 789-7482

Addresses

Street Address

215 E MANSION ST
1E
MARSHALL, MI 49068-1167

Billing Address

Oaklawn Hospital
200 N Madison St
Marshall, MI 49068-1143

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?
No

Shipping Addresses

Shipping Address 1

Oaklawn Hospital
200 N Madison St
Marshall, MI 49068-1143

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
DSH230217AA	Child	DSH	Oaklawn Hospital	Oaklawn Psychological Services - Psychological	15209 W Michigan Ave	Marshall	MI	Active
DSH230217AB	Child	DSH	Oaklawn Hospital	OMG MICHIGAN AVENUE PRIMARY CARE - Primary Care	1174 W MICHIGAN AVE	MARSHALL	MI	Active
DSH230217AC	Child	DSH	Oaklawn Hospital	OMG OBSTETRICS AND GYNECOLOGY - OBSTETRICS AND GYNECOLOGY	215 E Mansion St	Marshall	MI	Active
DSH230217AD	Child	DSH	Oaklawn Hospital	OAKLAWN MEDICAL GROUP COLDWATER - Family Practice	375 N WILLOWBROOK RD	COLDWATER	MI	Active
DSH230217AE	Child	DSH	Oaklawn Hospital	OAKLAWN EXPRESS CARE - BECKLEY ROAD - Express Care	5352 BECKLEY RD	BATTLE CREEK	MI	Active
DSH230217AF	Child	DSH	Oaklawn Hospital	OMG WRIGHT MEDICAL PRIMARY CARE - Primary Care	215 E MANSION ST	MARSHALL	MI	Active
DSH230217D	Child	DSH	Oaklawn Hospital	Oaklawn Hematology/Oncology Clinic	215 East Mansion Street	Marshall	MI	Active
DSH230217E	Child	DSH	Oaklawn Hospital	OMG GENERAL SURGERY - General Surgery	215 E MANSION ST	MARSHALL	MI	Active
DSH230217F	Child	DSH	Oaklawn Hospital	OMG MIFM - Internal/Family Medicine	720 US HIGHWAY 27 N	MARSHALL	MI	Active
DSH230217G	Child	DSH	Oaklawn Hospital	OMG BEADLE LAKE - Family Practice	14231 BEADLE LAKE RD	BATTLE CREEK	MI	Active
DSH230217H	Child	DSH	Oaklawn Hospital	OMG OB SUITE - Family Practice/Obstetrics	215 E MANSION ST	MARSHALL	MI	Terminated
DSH230217J	Child	DSH	Oaklawn Hospital	OMG - Vascular & Vein Surgery	215 E MANSION ST	MARSHALL	MI	Active
DSH230217K	Child	DSH	Oaklawn Hospital	Oaklawn Express Care - Marshall	1174 W Michigan Ave	MARSHALL	MI	Active
DSH230217L	Child	DSH	Oaklawn Hospital	OMG OLIVET - Family Practice	202 N MAIN ST	OLIVET	MI	Active
DSH230217M	Child	DSH	Oaklawn Hospital	OMG ENT - Ear, Nose, Throat	215 E MANSION ST	MARSHALL	MI	Active
DSH230217N	Child	DSH	Oaklawn Hospital	OMG TEKONSHA - Family Practice	2218 US HIGHWAY 27 N	TEKONSHA	MI	Active
DSH230217P	Child	DSH	Oaklawn Hospital	OMG GASTROENTEROLOGY - Gastroenterology	215 E MANSION ST	MARSHALL	MI	Active
DSH230217Q	Child	DSH	Oaklawn Hospital	OMG ALBION - Family Practice	302 N Monroe St Ste A	ALBION	MI	Active
DSH230217R	Child	DSH	Oaklawn Hospital	OMG PULMONOLOGY - Pulmonology	103 E MANSION ST	MARSHALL	MI	Active
DSH230217S	Child	DSH	Oaklawn Hospital	OAKLAWN WOUND CARE CENTER - Wound Care	13697 15 MILE RD	MARSHALL	MI	Active
DSH230217T	Child	DSH	Oaklawn Hospital	OMG Pain Management	200 N Madison St	Marshall	MI	Terminated
DSH230217U	Child	DSH	Oaklawn Hospital	OMG MARSHALL PRIMARY CARE - Internal/Family Medicine	215 E MANSION ST	MARSHALL	MI	Active
DSH230217V	Child	DSH	Oaklawn Hospital	OMG Endocrinology	215 E Mansion St	MARSHALL	MI	ToBeTerminated
DSH230217W	Child	DSH	Oaklawn Hospital	OMG Allergy, Asthma, and Immunology	111 S Hamilton	MARSHALL	MI	Active
DSH230217X	Child	DSH	Oaklawn Hospital	OMG Rheumatology	215 E Mansion St	Marshall	MI	Active
DSH230217Y	Child	DSH	Oaklawn Hospital	OMG MARSHALL SPECIALTY CLINIC - OMG Orthopedic Clinic	203 WINSTON DR	MARSHALL	MI	Active
DSH230217Z	Child	DSH	Oaklawn Hospital	Oaklawn Express Care - Albion	302 N MONROE ST	ALBION	MI	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	7/1/2020 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		3/31/2020 12:00:00 AM	4/2/2020 3:14 PM
Details	State	Update	Termination Request	Active	To Be Terminated	4/2/2020 3:14 PM
Terminations	Termination Comments	Update	Termination Request		OMG OB Suite is no longer a separate child site for Oaklawn Hospital. It has been absorbed by OMG Marshall Primary Care.	4/2/2020 3:14 PM
Terminations	Termination Date	Update	Termination Request		7/1/2020 12:00:00 AM	4/2/2020 3:14 PM
Terminations	Termination Effective Date	Update	Termination Request		4/1/2020 12:00:00 AM	4/2/2020 3:14 PM
Terminations	Termination Reason	Update	Termination Request		Site closure	4/2/2020 3:14 PM
Details	Last Recertification Date	Update	Recertification		8/23/2019 9:13:29 AM	8/23/2019 9:13 AM
Addresses	Main Address	Update	Change Request	215 E MANSION ST STE 2B MARSHALL, MI 49068-1167	215 E MANSION ST 1E MARSHALL, MI 49068-1167	3/13/2019 7:36 AM
Contacts	Authorizing Official	Update	Change Request	Beeg, Gregg M. Interim President and CEO Oaklawn Hospital 2697893924	Poole, Andrew James CFO Oaklawn Hospital 2697893936	3/12/2019 9:50 AM
Contacts	Authorizing Official	Update	Profile Change Request	Beeg, Gregg M. Chief Financial Officer Oaklawn Hospital 2697893921	Beeg, Gregg M. Interim President and CEO Oaklawn Hospital 2697893924	10/16/2018 11:41 AM
Contacts	Signed By	Update	Profile Change Request	Beeg, Gregg M. Chief Financial Officer Oaklawn Hospital 2697893921	Beeg, Gregg M. Interim President and CEO Oaklawn Hospital 2697893924	10/16/2018 11:41 AM
Contacts	Primary Contact	Update	Profile Change Request	Patrick, Nicole L. Pharmacy Informatics Coordinator Oaklawn Hospital 2697893905-2135	Patrick, Nicole L. Pharmacy Informatics Coordinator Oaklawn Hospital 2697897482	10/16/2018 8:24 AM
Details	State	Update		Approved	Active	10/1/2018 12:05 AM
Contacts	Signed By	Insert	New Registration		Beeg, Gregg M. Chief Financial Officer Oaklawn Hospital 2697893921	7/5/2018 2:22 PM
Details	340B ID	Update	New Registration		DSH230217H	7/5/2018 2:22 PM
Details	Entity Subname	Update	New Registration	OMG OB SUITE	OMG OB SUITE - Family Practice/Obstetrics	7/5/2018 2:22 PM
Dates	Participating Approval Date	Update	New Registration		7/5/2018 2:22:22 PM	7/5/2018 2:22 PM
Details	State	Update	New Registration	Pending	Approved	7/5/2018 2:22 PM
Dates	Signed By Date	Update	New Registration		7/3/2018 11:30:00 AM	7/5/2018 2:22 PM
Dates	Start Date	Update	New Registration		10/1/2018 12:00:00 AM	7/5/2018 2:22 PM
Addresses	Main Address	Insert	New Registration		215 E MANSION ST STE 2B MARSHALL, MI 49068-1167	7/3/2018 11:29 AM
Addresses	Billing Address	Insert	New Registration		Oaklawn Hospital 200 N Madison St Marshall, MI 49068-1143	7/3/2018 11:29 AM
Addresses	Shipping Address	Insert	New Registration		Oaklawn Hospital 200 N Madison St Marshall, MI 49068-1143	7/3/2018 11:29 AM
Contacts	Authorizing Official	Insert	New Registration		Beeg, Gregg M. Chief Financial Officer Oaklawn Hospital 2697893921	7/3/2018 11:29 AM
Contacts	Primary Contact	Insert	New Registration		Patrick, Nicole L. Pharmacy Informatics Coordinator Oaklawn Hospital 2697893905-2135	7/3/2018 11:29 AM
Details	Last Recertification Date	Insert	New Registration			7/3/2018 11:29 AM
Details	Grant Number	Insert	New Registration			7/3/2018 11:29 AM
Details	340B ID	Insert	New Registration			7/3/2018 11:29 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/3/2018 11:29 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/3/2018 11:29 AM
Details	Medicare Provider Number	Insert	New Registration		230217	7/3/2018 11:29 AM
Details	Entity Name	Insert	New Registration		Oaklawn Hospital	7/3/2018 11:29 AM
Details	Program Code	Insert	New Registration		DSH	7/3/2018 11:29 AM
Details	Entity Subname	Insert	New Registration		OMG OB SUITE	7/3/2018 11:29 AM
Dates	Participating Approval Date	Insert	New Registration			7/3/2018 11:29 AM
Details	State	Insert	New Registration		Pending	7/3/2018 11:29 AM
Dates	Registration Date	Insert	New Registration		7/3/2018 11:29:57 AM	7/3/2018 11:29 AM
Dates	Signed By Date	Insert	New Registration			7/3/2018 11:29 AM
Dates	Start Date	Insert	New Registration			7/3/2018 11:29 AM
Terminations	Termination Comments	Insert	New Registration			7/3/2018 11:29 AM
Terminations	Termination Date	Insert	New Registration			7/3/2018 11:29 AM
Terminations	Termination Effective Date	Insert	New Registration			7/3/2018 11:29 AM
Terminations	Termination Reason	Insert	New Registration			7/3/2018 11:29 AM