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DSH230130AR 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 Urology Clinic - 3535 W 13 Mile Rd - Urology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230130AR
Medicare Provider Number
230130
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/25/2025
Last Recertification Date
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
3535 W 13 Mile Rd
Ste 404 & 402
Royal Oak, MI 48073
Billing Address
WILLIAM BEAUMONT HOSPITAL dba Corewell Health William Beaumont University Hospital
3601 WEST 13 MILE ROAD
ROYAL OAK, MI 48073
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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