340B Drug Pricing Program Database
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DSH230059CD SAINT MARY'S HEALTH CARE (Active)
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Main Details
Name
SAINT MARY'S HEALTH CARE
Subdivision Name
MHPP GASTROENTEROLOGY - MHPP GASTROENTEROLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230059CD
Medicare Provider Number
230059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/26/2025
Last Recertification Date
Contacts
Authorizing Official
Trinity Health Muskegon Hospital
Daniel G. Green, Vice President for Finance
(616) 685-6709
Primary Contact
Saint Mary's Health Care
Robert D Bird, 340B Program Manager
(616) 685-1107
Addresses
Street Address
310 Lafayette Ave SE Suite 400
Grand Rapids, MI 49503
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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