340B Drug Pricing Program Database


DSH230035E Corewell Health Greenville Hospital (Active) - information as of 5/27/2025 2:42:16 PM

Main Details
Corewell Health Greenville Hospital
General Surgery
Disproportionate Share Hospital
No
DSH230035E
230035


Additional Details
Active
1/14/2019
4/1/2019
1/24/2019
8/14/2024

Contacts

Corewell Health
Amanda Knuth, Finance Controller
(231) 592-4305

Corewell Health
Lacey Alviar, Business Intell Analyst, Sr
(616) 391-1179

Addresses

707 S GREENVILLE WEST DRIVE
GREENVILLE, MI 48838-3514

Same as Street Address


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

Yes
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH230035AChildDSHCorewell Health Greenville HospitalOB/Gyn and Greenville Family Medicine1202 W. Oak St.GreenvilleMIActive
DSH230035BChildDSHSPECTRUM HEALTH UNITED HOSPITALSpectrum Health United Hospital - Wound Clinic1208 W. Oak StGREENVILLEMITerminated
DSH230035CChildDSHCorewell Health Greenville HospitalFamily Medicine - Belding1227 W. State St.BeldingMIActive
DSH230035DChildDSHCorewell Health Greenville HospitalFamily Medicine - Lakeview8650 Howard City Edmore Rd.LakeviewMIActive
DSH230035EChildDSHCorewell Health Greenville HospitalGeneral Surgery707 S GREENVILLE WEST DRIVEGREENVILLEMIActive
DSH230035FChildDSHCorewell Health Greenville HospitalOrthopedics707 S GREENVILLE WEST DRIVEGREENVILLEMIActive
DSH230035GChildDSHCorewell Health Greenville HospitalWalk-in Clinic - Greenville1202 W OAK STGREENVILLEMIActive
DSH230035HChildDSHCorewell Health Greenville HospitalInternal Medicine/Pediatrics - Greenville707 S GREENVILLE WEST DRIVEGREENVILLEMIActive
DSH230035JChildDSHCorewell Health Greenville HospitalFamily Medicine - Greenville - Family Medicine1202 W Oak StGreenvilleMIActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateGroup Change RequestAlviar, Lacey Business Intelligence Analyst Spectrum Health Hospital 6163911179Alviar, Lacey Business Intell Analyst, Sr Corewell Health 616391117912/5/2024 11:31 AM
ContactsAuthorizing OfficialUpdateChange RequestKnuth, Amanda Controller Corewell Health 2315924305Knuth, Amanda Finance Controller Corewell Health 231592430510/28/2024 1:49 PM
DetailsLast Recertification DateUpdateRecertification8/28/2023 9:29:08 AM8/14/2024 10:13:38 AM8/14/2024 10:13 AM
DetailsEntity NameUpdateChange RequestSPECTRUM HEALTH UNITED HOSPITALCorewell Health Greenville Hospital9/19/2023 2:27 PM
DetailsEntity SubnameUpdateChange RequestSPECTRUM HEALTH UNITED - General SurgeryGeneral Surgery9/19/2023 2:26 PM
DetailsLast Recertification DateUpdateRecertification9/2/2022 12:15:37 PM8/28/2023 9:29:08 AM8/28/2023 9:29 AM
ContactsAuthorizing OfficialUpdateChange RequestSella, John Senior Director, Finance Spectrum Health Gerber 6166439168Knuth, Amanda Controller Corewell Health 231592430511/7/2022 1:53 PM
DetailsLast Recertification DateUpdateRecertification8/23/2021 10:59:34 AM9/2/2022 12:15:37 PM9/2/2022 12:15 PM
ContactsAuthorizing OfficialUpdateChange RequestKnoerl, Tom Controller Spectrum Health 2315924253Sella, John Senior Director, Finance Spectrum Health Gerber 61664391686/23/2022 2:23 PM
ContactsPrimary ContactUpdateGroup Change RequestKnol, Angela Marie Business Intelligence Analyst Spectrum Health 6167747939Alviar, Lacey Business Intelligence Analyst Spectrum Health Hospital 616391117911/23/2021 8:57 AM
DetailsLast Recertification DateUpdateRecertification8/24/2020 10:19:18 AM8/23/2021 10:59:34 AM8/23/2021 10:59 AM
Medicaid BillingNPI: StateUpdateRecertification MI8/24/2020 10:19 AM
DetailsLast Recertification DateUpdateRecertification9/5/2019 11:48:46 AM8/24/2020 10:19:18 AM8/24/2020 10:19 AM
ContactsAuthorizing OfficialUpdateChange RequestMahar, Priscilla Kay Chief Operating and Compliance Officer Spectrum Health United and Kelsey Hospitals 6162256313Knoerl, Tom Controller Spectrum Health 23159242532/28/2020 2:03 PM
AddressesMain AddressUpdateRecertification 707 S GREENVILLE WEST DRIVE SPECTRUM HEALTH UNITED IM/PEDS GREENVILLE, MI 48838-3514 707 S GREENVILLE WEST DRIVE GREENVILLE, MI 48838-35149/5/2019 11:48 AM
ContactsPrimary ContactUpdateRecertificationVolk, Andrew Director, Pharmacy Business Operations, SHDS Spectrum Health 6162670072Knol, Angela Marie Business Intelligence Analyst Spectrum Health 61677479399/5/2019 11:48 AM
DetailsLast Recertification DateUpdateRecertification 9/5/2019 11:48:46 AM9/5/2019 11:48 AM
DetailsStateUpdate ApprovedActive4/1/2019 12:05 AM
ContactsSigned ByInsertNew Registration Mahar, Priscilla Kay Chief Operating and Compliance Officer Spectrum Health United and Kelsey Hospitals 61622563131/24/2019 10:03 AM
Details340B IDUpdateNew Registration DSH230035E1/24/2019 10:03 AM
DetailsEntity NameUpdateNew RegistrationSPECTRUM HEALTH UNITED MEMORIALSPECTRUM HEALTH UNITED HOSPITAL1/24/2019 10:03 AM
DetailsEntity SubnameUpdateNew RegistrationSPECTRUM HEALTH UNITEDSPECTRUM HEALTH UNITED - General Surgery1/24/2019 10:03 AM
DatesParticipating Approval DateUpdateNew Registration 1/24/2019 10:03:12 AM1/24/2019 10:03 AM
DetailsStateUpdateNew RegistrationPendingApproved1/24/2019 10:03 AM
DatesSigned By DateUpdateNew Registration 1/15/2019 10:37:45 AM1/24/2019 10:03 AM
DatesStart DateUpdateNew Registration 4/1/2019 12:00:00 AM1/24/2019 10:03 AM
AddressesMain AddressInsertNew Registration  707 S GREENVILLE WEST DRIVE SPECTRUM HEALTH UNITED IM/PEDS GREENVILLE, MI 48838-35141/14/2019 11:01 AM
Medicaid BillingNPI: NumberInsertNew Registration 14779271841/14/2019 11:01 AM
ContactsAuthorizing OfficialInsertNew Registration Mahar, Priscilla Kay Chief Operating and Compliance Officer Spectrum Health United and Kelsey Hospitals 61622563131/14/2019 11:01 AM
ContactsPrimary ContactInsertNew Registration Volk, Andrew Director, Pharmacy Business Operations, SHDS Spectrum Health 61626700721/14/2019 11:01 AM
DetailsLast Recertification DateInsertNew Registration  1/14/2019 11:01 AM
DetailsGrant NumberInsertNew Registration  1/14/2019 11:01 AM
Details340B IDInsertNew Registration  1/14/2019 11:01 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/14/2019 11:01 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/14/2019 11:01 AM
DetailsMedicare Provider NumberInsertNew Registration 2300351/14/2019 11:01 AM
DetailsEntity NameInsertNew Registration SPECTRUM HEALTH UNITED MEMORIAL1/14/2019 11:01 AM
DetailsProgram CodeInsertNew Registration DSH1/14/2019 11:01 AM
DetailsEntity SubnameInsertNew Registration SPECTRUM HEALTH UNITED1/14/2019 11:01 AM
DatesParticipating Approval DateInsertNew Registration  1/14/2019 11:01 AM
DetailsStateInsertNew Registration Pending1/14/2019 11:01 AM
DatesRegistration DateInsertNew Registration 1/14/2019 11:01:38 AM1/14/2019 11:01 AM
DatesSigned By DateInsertNew Registration  1/14/2019 11:01 AM
DatesStart DateInsertNew Registration  1/14/2019 11:01 AM
TerminationsTermination CommentsInsertNew Registration  1/14/2019 11:01 AM
TerminationsTermination DateInsertNew Registration  1/14/2019 11:01 AM
TerminationsTermination Effective DateInsertNew Registration  1/14/2019 11:01 AM
TerminationsTermination ReasonInsertNew Registration  1/14/2019 11:01 AM