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DSH230038BH Corewell Health Grand Rapids Hospitals Butterworth Hospital (Active)
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Main Details
Name
Corewell Health Grand Rapids Hospitals Butterworth Hospital
Subdivision Name
Summit Park - Rheumatology Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038BH
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/1/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/25/2024
Last Recertification Date
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Corewell Health
Lacey Alviar, Business Intell Analyst, Sr
(616) 391-1179
Addresses
Street Address
3271 Clear Vista Ct NE
Grand Rapids, MI 49525
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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