340B Drug Pricing Program Database
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DSH230066CQ Trinity Health Muskegon Hospital (Active)
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Main Details
Name
Trinity Health Muskegon Hospital
Subdivision Name
THMG INFECTIOUS DISEASE - HACKLEY - Infectious Disease
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230066CQ
Medicare Provider Number
230066
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/17/2024
Last Recertification Date
Contacts
Authorizing Official
Trinity Health Muskegon Hospital
Daniel G. Green, Vice President for Finance
(616) 685-6709
Primary Contact
Trinity Health Muskegon Hospital
Scott Butler, Pharmaceutical Assistance/340B Program Coordinator
(231) 215-4459
Addresses
Street Address
1675 LEAHY ST
STE 301A
MUSKEGON, MI 49442-5543
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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