340B Drug Pricing Program Database
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RRC230117-26 ASCENSION BORGESS HOSPITAL (Active)
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Main Details
Name
ASCENSION BORGESS HOSPITAL
Subdivision Name
ASCENSION BORGESS CANCER CENTER - ASCENSION BORGESS CANCER CENTER
Type
Rural Referral Center
Rural
No
340B ID
RRC230117-26
Medicare Provider Number
230117
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/28/2025
Last Recertification Date
Contacts
Authorizing Official
Ascension Michigan
Michael McCullough, CFO
(586) 753-0653
Primary Contact
Ascension Rx
Kelsey Fiser, 340B Program Director
(615) 222-5190
Addresses
Street Address
2520 ROBERT JONES WAY
FL 2
KALAMAZOO, MI 49009-1904
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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