340B Drug Pricing Program Database
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DSH230130 Corewell Health William Beaumont University Hospital (Active)
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Main Details
Name
Corewell Health William Beaumont University Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230130
Medicare Provider Number
230130
Additional Details
Current Program Status
Active
Registration Date
1/11/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/31/2024
Last Recertification Date
8/27/2024
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
3601 WEST 13 MILE ROAD
ROYAL OAK, MI 48073-6769
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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