340B Drug Pricing Program Database
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DSH230130AK Corewell Health William Beaumont University Hospital (Active)
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Main Details
Name
Corewell Health William Beaumont University Hospital
Subdivision Name
Corewell Health William Beaumont University Hospital Cardiology - 16800 12 Mile Rd
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230130AK
Medicare Provider Number
230130
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/5/2024
Last Recertification Date
9/5/2024
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
16800 W 12 MILE RD
STE 102
SOUTHFIELD, MI 48076-6335
Billing Address
WILLIAM BEAUMONT HOSPITAL dba Beaumont Hospital - Royal Oak
3601 WEST 13 MILE ROAD
ROYAL OAK, MI 48073
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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