Covered Entity Details

DSH230046FU UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Active) - information as of 4/25/2025 8:34:13 PM

Main Details

Name

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS

Subdivision Name

Livonia Health Center Endo/Diab (315343) - Endocrinology and diabetes

Type

Disproportionate Share Hospital

Rural

340B ID

DSH230046FU

Medicare Provider Number

230046

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

1/8/2021

Participating Start Date

4/1/2021

Participating Approval Date

2/5/2021

Last Recertification Date

8/22/2024

Contacts

Authorizing Official

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

Primary Contact

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

Addresses

Street Address

20321 Farmington Rd
Livonia, MI 48152-1411

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	1556483	1003878539

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
DSH230046AA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor Ambulatory Surgery and Medical Procedures Center	4270 Plymouth Rd	Ann Arbor	MI	Active
DSH230046AB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Center for Specialty Care	19900 Haggerty Rd	Livonia	MI	Terminated
DSH230046AC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Ambulatory Surgery Center	19900 Haggerty Rd	Livonia	MI	Terminated
DSH230046AD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Radiology & General Imaging	19900 Haggerty Rd	Livonia	MI	Active
DSH230046AF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Michigan Sinus Center	19900 Haggerty Rd	Livonia	MI	Active
DSH230046AG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Urology	19900 Haggerty Rd	Livonia	MI	Active
DSH230046AH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center	39901 Traditions Dr	Northville	MI	Terminated
DSH230046AJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Ice Cube - MedSport	2121 Oak Valley Dr	Ann Arbor	MI	Active
DSH230046AK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Reichert - Allergy, Asthma and Clinical Immunology	5333 McAuley Dr	Ypsilanti	MI	Terminated
DSH230046AL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center (319007)	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046AM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Ypsilanti Health Center	200 Arnet St	Ypsilanti	MI	Active
DSH230046AN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Saline Health Center	700 Woodland Dr East	Saline	MI	Active
DSH230046AP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Rachel Upjohn - Depression Center and Ambulatory Psychiatry	4250 Plymouth Rd	Ann Arbor	MI	Active
DSH230046AQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KMS - Sleep Disorders Laboratory	700 KMS Place	Ann Arbor	MI	Active
DSH230046AR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Brighton	5728 Whitmore Lake Rd	Brighton	MI	Terminated
DSH230046AS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center - Allergy	39901 Traditions Dr	Northville	MI	Active
DSH230046AT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Michigan Hearing	19900 Haggerty Rd	Livonia	MI	Terminated
DSH230046AU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center - Gastroenterology	39901 Traditions Dr	Northville	MI	Active
DSH230046AV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Northville Health Center	39901 Traditions Dr	Northville	MI	Active
DSH230046AW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Milford	320 W. Commerce Road	Milford	MI	Terminated
DSH230046AX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Preoperative Clinic	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046AY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Plastic Surgery	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046AZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Hand Therapy	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Ultrasound	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Sleep Clinic	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Podiatry	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Cancer Genetics	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Eisenhower Corporate Park - Orthotics & Prosthetics	2850 South Industrial	Ann Arbor	MI	Active
DSH230046BF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Eisenhower Corporate Park - Occup Therapy	2850 South Industrial	Ann Arbor	MI	Active
DSH230046BG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Huron Valley - Radiology	2098 South Main Street	Ann Arbor	MI	Active
DSH230046BH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Huron Valley - South Main Orthopaedics	2098 South Main Street	Ann Arbor	MI	Active
DSH230046BJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Nutrition Services	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Geriatrics	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Specialty	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Radiology	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - PMR Therapy	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Breast Clinic	4260 Plymouth Rd	Ann Arbor	MI	Terminated
DSH230046BQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Primary Care	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Plymouth Park - Pediatric Rehab	2205 Commonwealth	Ann Arbor	MI	Active
DSH230046BS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Plymouth Park - Neuropschology	2101 Commonwealth	Ann Arbor	MI	Active
DSH230046BT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Neurosurgery Clinic	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Rehabilitation Psychology	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Pediatric Neuromuscular	325 E. Eisenhower Pkwy	Ann Arbor	MI	Terminated
DSH230046BW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Collaborative Wheelchair	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Spinal Cord Injury	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Opthy Photo	1000 Wall Street	Ann Arbor	MI	Terminated
DSH230046BZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Opthy Prosthetics	1000 Wall Street	Ann Arbor	MI	Active
DSH230046C	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood MedRehab Milestones	400 East Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046CA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Opthamology	1000 Wall Street	Ann Arbor	MI	Active
DSH230046CB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Surgery	1000 Wall Street	Ann Arbor	MI	Active
DSH230046CC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Ypsilanti	1974 North Huron River Drive	Ypsilanti	MI	Active
DSH230046CD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood - Center for Reproductive Medicine	475 Market Place	ANN ARBOR	MI	Active
DSH230046CE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	HOWELL PEDIATRICS AND TEEN CENTER	3399 East Grand River Ave.	HOWELL	MI	Active
DSH230046CF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DOMINO FARMS / Dominos - Wound	24 FRANK LLOYD WRIGHT DRIVE	ANN ARBOR	MI	Active
DSH230046CG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DOMINO FARMS / Dominos - Wound PT	24 FRANK LLOYD WRIGHT DRIVE	ANN ARBOR	MI	Active
DSH230046CH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Radiology	8001 CHALLIS ROAD	BRIGHTON	MI	Terminated
DSH230046CJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / MedSport (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Urology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Rheumatology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Pulmonary (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Pediatricians	8001 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / General Medicine	8001 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Cardiology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Back and Pain (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Endocrinology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Hepatology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / OB/GYN	8001 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Canton	1051 Canton Center Rd	Canton	MI	Active
DSH230046CW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Physical Med Rehab	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046CX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Radiology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046CY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Spine Clinic	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046CZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Pediatricians	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046D	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Center for Women, Children and Young Adults	400 East Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046DA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Ped Epilepsy	1051 CANTON CENTER ROAD	CANTON	MI	Terminated
DSH230046DB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Ped Endocrinology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Oncology	1051 CANTON CENTER ROAD	CANTON	MI	Terminated
DSH230046DD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Ob/Gyn	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Infectious Disease	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Hepatology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Hematology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / General Medicine	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Gastroenterology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Cardiology	1051 CANTON CENTER ROAD	CANTON	MI	Terminated
DSH230046DL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Canton - Back & Pain	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Behavioral	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Cardiology	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Family Medicine	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Gynecology	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Metabolism, Endocrinology, Diabetes	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Spine Clinic	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Urology	14700 EAST OLD US 12	CHELSEA	MI	Terminated
DSH230046DU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Chelsea	14700 E Old US 12	Chelsea	MI	Active
DSH230046DV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Adult General	39901 Traditions Dr	Northville	MI	Active
DSH230046DW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center / Pediatric Gastroenterology	20321 Farmington Rd	Livonia	MI	Active
DSH230046DX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center / Internal Medicine	20321 Farmington Rd	Livonia	MI	Terminated
DSH230046DY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center / Family Medicine	20321 Farmington Rd	Livonia	MI	Active
DSH230046DZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Radiology	39901 Traditions Dr	Northville	MI	Active
DSH230046E	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Family Medicine	1801 Briarwood Circle	Ann Arbor	MI	Active
DSH230046EA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / OB/GYN	39901 Traditions Dr	Northville	MI	Active
DSH230046EB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Hem/Onc	39901 Traditions Dr	Northville	MI	Active
DSH230046EC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Pediatrics	39901 Traditions Dr	Northville	MI	Active
DSH230046ED	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Medical Procedures Unit	39901 Traditions Dr	Northville	MI	Active
DSH230046EE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Adult Specialty	39901 Traditions Dr	Northville	MI	Active
DSH230046EF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Musculoskeletal	39901 Traditions Dr	Northville	MI	Active
DSH230046EG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / GENERAL SURGERY - GENERAL SURGERY	14700 E Old US Highway 12	Chelsea	MI	Terminated
DSH230046EH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CLARK ROAD RHEUMATOLOGY - RHEUMATOLOGY	3145 W Clark Rd Ste 202	Ypsilanti	MI	Terminated
DSH230046EJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	NORTHVILLE HEALTH CENTER / AMBULATORY DIAGNOSTIC AND TREATMENT UNIT - AMBULATORY DIAGNOSTIC AND TREATMENT UNIT	39901 Traditions Drive	Northville	MI	Terminated
DSH230046EK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	LIVONIA SPECIALTY CARE - COSMETIC SURGERY - COSMETIC SURGERY	19900 Haggerty Rd Ste 103	Livonia	MI	Active
DSH230046EL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Clark Road Infusion - Infusion	3145 W Clark Rd Ste 303	Ypsilanti	MI	Terminated
DSH230046EM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER - BCSC Infusion	7500 CHALLIS RD	BRIGHTON	MI	Active
DSH230046EN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	YPSILANTI HEALTH CENTER - PEDIATRICS	200 ARNET ST	YPSILANTI	MI	Terminated
DSH230046EP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	YPSILANTI HEALTH CENTER - PSYCHOLOGY	200 ARNET ST	YPSILANTI	MI	Active
DSH230046EQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Thoracic Surgery	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046ER	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Opthalmology	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046ES	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Infusion	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046ET	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Gastroenterology	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046EU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH CENTER - Infusion	1051 N CANTON CENTER RD	CANTON	MI	Terminated
DSH230046EV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Pulmonary (319014)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046EW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	EAST ANN ARBOR AMBULATORY SURGERY/ - Infusion	4260 PLYMOUTH RD	ANN ARBOR	MI	Active
DSH230046EX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Pediatric Sports Medicine	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046EY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Allergy (319004)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046EZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BURLINGTON BUILDING - Vestibular Pediatric Program	325 E EISENHOWER PARKWAY SUITE 202	ANN ARBOR	MI	Terminated
DSH230046F	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Health Associates	325 Briarwood Circle	Ann Arbor	MI	Active
DSH230046FA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BURLINGTON BUILDING - Physical Therapy	325 E EISENHOWER PARKWAY SUITE 202	ANN ARBOR	MI	Active
DSH230046FB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	NORTHVILLE HEALTH CENTER - Infusion	39901 TRADITIONS DR	NORTHVILLE	MI	Active
DSH230046FC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Ambulatory Urgent Care	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046FD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Otolaryngology (319006)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046FE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Audiology (319018)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046FF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Ortho Surgery	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046FG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor- Radiology (315988)	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046FH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea- Surgical Services - Surgical Services	14650 E Old US Highway 12	Chelsea	MI	Active
DSH230046FJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- RadOnc - Radiation Oncology	7500 Challis Rd	Brighton	MI	Active
DSH230046FK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- Preop/OR/PACU - Preop/OR/PACU	7500 Challis Rd	Brighton	MI	Active
DSH230046FL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- OPHTH - Ophthalmology	7500 Challis Rd	Brighton	MI	Active
DSH230046FM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor-PP Echocardio- (319016)	380 Parkland Plaza	Ann Arbor	MI	Terminated
DSH230046FN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- OTO - Otolaryngology	7500 Challis Rd	Brighton	MI	Active
DSH230046FP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- Comprehensive Cancer Center - Oncology	7500 Challis Rd	Brighton	MI	Active
DSH230046FQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dexter Health Clinic (315024) - DHC Session space	7300 Dexter Ann Arbor Rd Ste 100	Dexter	MI	Active
DSH230046FR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center (315246) - LHC session space	20321 Farmington Rd	Livonia	MI	Terminated
DSH230046FS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	MICH HOUSE CALLS (316323) - House Calls	2850 S Industrial Hwy	Ann Arbor	MI	Terminated
DSH230046FT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC AMBULATRY DIAG TX (319224) - Ambulatory clinic for service	7500 Challis Rd	Brighton	MI	Terminated
DSH230046FU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center Endo/Diab (315343) - Endocrinology and diabetes	20321 Farmington Rd	Livonia	MI	Active
DSH230046FV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	MICH VISIT NURSES (316322) - Visiting Nurses	2850 S Industrial Hwy	Ann Arbor	MI	Active
DSH230046FW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Grand Rapids Endocrinology (315700) - Endo	1310 East Beltline	SE Grand Rapids	MI	Active
DSH230046FX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Cardiac (311757) - Cardiac	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046FY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Cardiac (319225) - Cardiac	7500 Challis Rd	Brighton	MI	Active
DSH230046FZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Sleep (319209) - Sleep	7500 Challis Rd	Brighton	MI	Active
DSH230046G	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Hearing Rehabilitation	475 Market Place	Ann Arbor	MI	Active
DSH230046GA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Adult Comprehensive Care (319211) - Comprehensive care	7500 Challis Rd	Brighton	MI	Active
DSH230046GB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Hospital Care at Home (316329) - General Medicine	2850 S Industrial Hwy	Ann Arbor	MI	Active
DSH230046GC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Anticoag (315384) - Anticoag	24 Frank Lloyd Wright Dr Ste 32315 S	Ann Arbor	MI	Terminated
DSH230046GD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ECPH Patient Monitoring (319312) - General Medicine	2850 S Industrial Hwy Ste 75	Ann Arbor	MI	Active
DSH230046GE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WAA OB/GYN (319003) - ob/gyn	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WAA Internal Medicine (319001) - Internal Med	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor- Geriatrics (319013) - Geriatrics	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WAA Pediatrics (319002) - peds	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Saturday Clinic (319021) - Clinic	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Shore Urology (310107) - Urology	1301 Mercy Dr	Muskegon	MI	Active
DSH230046GL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor- Ortho (319020) - Ortho	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Ophthalmology (315804) - Ophthalmology	3181 E Grand Blanc Rd	Grand Blanc	MI	Active
DSH230046GN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea Health Center- Senior (315050) - Geriatrics	805 W Middle St	Chelsea	MI	Active
DSH230046GP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ECPH Homemed (318401) - Homemed	2850 S Industrial Hwy Ste 50	Ann Arbor	MI	Active
DSH230046GQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	EAA PACU (319348) - PACU	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046GR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KEC ANESTHESIA (315130) - Anesthesia	1000 Wall St	Ann Arbor	MI	Active
DSH230046GS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BHC Nutrition Services (315240) - Nutrition	8001 Challis Rd	Brighton	MI	Active
DSH230046GT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC- Procedure area (319202) - Procedure area	7500 Challis Rd	Brighton	MI	Active
DSH230046GU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Canton Health Center Metab, Endo, & Diab (315318) - Metab, Endo, & Diab	1051 N Canton Center Rd	Canton	MI	Active
DSH230046GV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Sleep Lab (315418) - Sleep	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046GW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Neuro Sport (315441) - Neuro Sport	24 Frank Llyod Wright Dr	Ann Arbor	MI	Active
DSH230046GX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Multi Specialty Procedure Center (311826) - Adult Specialty procedure clinics	39901 Traditions Dr	Northville	MI	Active
DSH230046GY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea- OB GYN (310009) - OB GYN	14650 East Old US Highway 12	Chelsea	MI	Active
DSH230046GZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC- Neuro/Ortho Surg (319203) - Neuro/Ortho Surgery	7500 Challis Rd	Brighton	MI	Active
DSH230046H	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Medical Group	375 Briarwood Circle	Ann Arbor	MI	Active
DSH230046HA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville OB GYN Spec. (311832) - OB GYN	39901 Traditions Dr	Northville	MI	Active
DSH230046HB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Med and Ortho Sport (315399) - Med and Ortho Sport	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Wound OT (311813) - Wound OT	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC- Pediatric Spec. (319210) - Pediatric Specialty clinics	7500 Challis Rd	Brighton	MI	Active
DSH230046HE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea Adult Multi Specialty Center (315050) - Adult Specialty clinics	14700 E Old US Highway 12	Chelsea	MI	Active
DSH230046HF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville- PT and Occupational Therapy (315745) - PT and Occupational Therapy	39901 Traditions Dr	Northville	MI	Active
DSH230046HG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	EMPC MPU and Venous management (317937) - MPU and venous	4270 Plymouth Rd	Ann Arbor	MI	Active
DSH230046HH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Eisenhower Corporate Park - Physical Medicine Rehab (315575) - Physical Medicine Rehab	2850 S Industrial Hwy	Ann Arbor	MI	Active
DSH230046HJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WHC General Med (315258) - General Medicine	4900 Jackson Rd	Ann Arbor	MI	Active
DSH230046HK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BW04 Pain Managment Rehab (315746) - Pain Management	325 E Eisenhower Pkwy Ste 100	Ann Arbor	MI	Active
DSH230046HL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	YHC Dermatology (311800) - Dermatology	200 Arnet St	Ypsilanti	MI	Active
DSH230046HM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DF Dermatology TX (315640) - Dermatology	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Radiation (319222) - Radiation	7500 Challis Rd	Brighton	MI	Active
DSH230046HP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DRBM Kidney Pancreas (317166) - Kidney and Pancreas	7633 E Jefferson Ave	Detroit	MI	Active
DSH230046HQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	RUB Comp Gender SVC (315156 - Gender Services	4250 Plymouth Rd	Ann Arbor	MI	Active
DSH230046HR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DF Diabetes Edu (315318) - Diabetes Education	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	PRC PMR PED (315739) - PMR peds	2205 Commonwealth Blvd	Ann Arbor	MI	Active
DSH230046HT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KEC Vision Care (315284) - Vision	1000 Wall St	Ann Arbor	MI	Active
DSH230046HU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	PRC PED Psyc (315743) - Ped Psyc	2205 Commonwealth Blvd	Ann Arbor	MI	Active
DSH230046HV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CRC Senior Living (315050) - Senior living	805 W Middle St	Chelsea	MI	Active
DSH230046HW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ZTC Ped Rheumatology (315884) - Peds Rheumatology	106 S Madison St	Traverse City	MI	Active
DSH230046HX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ZMQ Ped Genetics (315706) - Genetics	850 W Baraga Ave	Marquette	MI	Active
DSH230046HY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KEC Ophthy Plastics (315754 - Eye surgery	1000 Wall St	Ann Arbor	MI	Active
DSH230046J	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood MedRehab	355 Briarwood Circle	Ann Arbor	MI	Active
DSH230046K	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Radiology	1901 Briarwood Circle	Ann Arbor	MI	Active
DSH230046L	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Health Center	8001 Challis Rd	Brighton	MI	Terminated
DSH230046M	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Pulmonary Rehab	325 E Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046N	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Back & Pain Center / Spine Program	325 E Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046P	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Physical Medicine & Rehab	325 E Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046Q	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Canton Health Center	1051 Canton Center Rd	Canton	MI	Terminated
DSH230046R	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea Health Center	14700 E Old US 12	Chelsea	MI	Terminated
DSH230046S	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dexter Family Medicine	7300 Dexter-Ann Arbor Rd	Dexter	MI	Active
DSH230046T	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - MedSport	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046U	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Vascular Lab	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046V	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Family Medicine	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046W	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DOMINO FARMS / Dominos - Allergy	24 FRANK LLOYD WRIGHT DRIVE	Ann Arbor	MI	Active
DSH230046X	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Dermatology	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046Y	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Cardiovascular Medicine	24 Frank Lloyd Wright Dr.	Ann Arbor	MI	Active
DSH230046Z	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Metabolism, Endocrinology and Diabetes	24 Frank Lloyd Wright Dr.	Ann Arbor	MI	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Group Change Request	Lee, Janine M Clinical Pharmacist, 340B Program University of Michigan 7349368210	Gillespie, Cindy Assistant Director, Pharmacy 340B Program University of Michigan 7346155867	2/12/2025 11:29 AM
Contacts	Authorizing Official	Update	Change Request	Miller, David President University of Michigan Health Systems University of Michigan Hospitals and Health Centers 7346476313	Habers, Dana Chief Operating Officer, Pharmacy University of Michigan 7349364338	12/17/2024 7:57 AM
Contacts	Primary Contact	Update	Profile Change Request	Lee, Janine M Assistant Direct 340B Program University of Michigan 7349368210	Lee, Janine M Clinical Pharmacist, 340B Program University of Michigan 7349368210	8/22/2024 9:55 AM
Contacts	Primary Contact	Update	Recertification	Cortis, Rachel G Associate Chief Operating Officer UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	Lee, Janine M Assistant Direct 340B Program University of Michigan 7349368210	8/22/2024 8:31 AM
Details	Last Recertification Date	Update	Recertification	8/23/2023 1:34:53 PM	8/22/2024 8:31:46 AM	8/22/2024 8:31 AM
Contacts	Primary Contact	Update	Profile Change Request	Cortis, Rachel G Assistant Director of Pharmacy for Business Operations UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	Cortis, Rachel G Associate Chief Operating Officer UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	12/11/2023 2:19 PM
Details	Last Recertification Date	Update	Recertification	8/26/2022 11:17:33 AM	8/23/2023 1:34:53 PM	8/23/2023 1:34 PM
Details	Last Recertification Date	Update	Recertification	8/19/2021 10:37:24 AM	8/26/2022 11:17:33 AM	8/26/2022 11:17 AM
Contacts	Authorizing Official	Update	Change Request	Desmond, Jeffrey S. Chief Medical Officer University Of Michigan Hospitals and Health Centers 7349365814	Miller, David President University of Michigan Health Systems University of Michigan Hospitals and Health Centers 7346476313	1/27/2022 11:50 AM
Details	Last Recertification Date	Update	Recertification		8/19/2021 10:37:24 AM	8/19/2021 10:37 AM
Details	State	Update		Approved	Active	4/1/2021 12:01 AM
Contacts	Signed By	Insert	New Registration		Desmond, Jeffrey S. Chief Medical Officer University Of Michigan Hospitals and Health Centers 7349365814	2/5/2021 9:02 AM
Details	340B ID	Update	New Registration		DSH230046FU	2/5/2021 9:02 AM
Details	Entity Name	Update	New Registration	UNIV OF MI HOSPITALS & HLTH CTRS	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	2/5/2021 9:02 AM
Details	Entity Subname	Update	New Registration	Livonia Health Center Endo/Diab (315343)	Livonia Health Center Endo/Diab (315343) - Endocrinology and diabetes	2/5/2021 9:02 AM
Dates	Participating Approval Date	Update	New Registration		2/5/2021 9:02:33 AM	2/5/2021 9:02 AM
Details	State	Update	New Registration	Pending	Approved	2/5/2021 9:02 AM
Dates	Signed By Date	Update	New Registration		1/8/2021 10:48:20 AM	2/5/2021 9:02 AM
Dates	Start Date	Update	New Registration		4/1/2021 12:00:00 AM	2/5/2021 9:02 AM
Addresses	Main Address	Insert	New Registration		20321 Farmington Rd Livonia, MI 48152-1411	1/8/2021 10:48 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	1/8/2021 10:48 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1556483	1/8/2021 10:48 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		MI	1/8/2021 10:48 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1003878539	1/8/2021 10:48 AM
Medicaid Billing	NPI: State	Insert	New Registration		MI	1/8/2021 10:48 AM
Contacts	Authorizing Official	Insert	New Registration		Desmond, Jeffrey S. Chief Medical Officer University Of Michigan Hospitals and Health Centers 7349365814	1/8/2021 10:48 AM
Contacts	Primary Contact	Insert	New Registration		Cortis, Rachel G Assistant Director of Pharmacy for Business Operations UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	1/8/2021 10:48 AM
Details	Assistance Received From Date	Insert	New Registration			1/8/2021 10:48 AM
Details	Assistance Received To Date	Insert	New Registration			1/8/2021 10:48 AM
Details	Last Recertification Date	Insert	New Registration			1/8/2021 10:48 AM
Details	Grant Number	Insert	New Registration			1/8/2021 10:48 AM
Details	340B ID	Insert	New Registration			1/8/2021 10:48 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/8/2021 10:48 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/8/2021 10:48 AM
Details	Medicare Provider Number	Insert	New Registration		230046	1/8/2021 10:48 AM
Details	Entity Name	Insert	New Registration		UNIV OF MI HOSPITALS & HLTH CTRS	1/8/2021 10:48 AM
Details	NOFO Number	Insert	New Registration			1/8/2021 10:48 AM
Details	Program Code	Insert	New Registration		DSH	1/8/2021 10:48 AM
Details	Entity Subname	Insert	New Registration		Livonia Health Center Endo/Diab (315343)	1/8/2021 10:48 AM
Dates	Participating Approval Date	Insert	New Registration			1/8/2021 10:48 AM
Details	State	Insert	New Registration		Pending	1/8/2021 10:48 AM
Dates	Registration Date	Insert	New Registration		1/8/2021 10:48:16 AM	1/8/2021 10:48 AM
Dates	Signed By Date	Insert	New Registration			1/8/2021 10:48 AM
Dates	Start Date	Insert	New Registration			1/8/2021 10:48 AM
Terminations	Termination Comments	Insert	New Registration			1/8/2021 10:48 AM
Terminations	Termination Date	Insert	New Registration			1/8/2021 10:48 AM
Terminations	Termination Effective Date	Insert	New Registration			1/8/2021 10:48 AM
Terminations	Termination Reason	Insert	New Registration			1/8/2021 10:48 AM