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DSH230029C TRINITY HEALTH OAKLAND HOSPITAL (Active)
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Main Details
Name
TRINITY HEALTH OAKLAND HOSPITAL
Subdivision Name
TRINITY HEALTH OAKLAND HOSPITAL - Adult Partial Hospitalization
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230029C
Medicare Provider Number
230029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/7/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/4/2025
Last Recertification Date
Contacts
Authorizing Official
Trinity Health Oakland Hospital
Melissa Karolak, Vice President Finance
(734) 655-2825
Primary Contact
Trinity Health
Joanne MacDonald, Regional Director-Pharmacy
(734) 712-5194
Addresses
Street Address
44428 Woodward Ave
10
Pontiac, MI 48341
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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