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DSH230297S Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center (Active)
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Main Details
Name
Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center
Subdivision Name
KARMANOS CANCER CENTER - Oncology Clinic - Roseville
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230297S
Medicare Provider Number
230297
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/9/2024
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Karmanos Cancer Center
Regina Doxtader, VP-Chief Financial Officer
(313) 576-8657
Primary Contact
Karmanos Cancer Center
Surender Kanaparthi, VP-Chief Pharmacy Officer
(313) 576-8809
Addresses
Street Address
30550 UTICA RD
ROSEVILLE, MI 48066-1528
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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