340B Drug Pricing Program Database
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DSH230059CH SAINT MARY'S HEALTH CARE (Approved)
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Main Details
Name
SAINT MARY'S HEALTH CARE
Subdivision Name
MGRRF MHPP NEUROSCIENCE ROCKFORD - MGRRF MHPP NEUROSCIENCE ROCKFORD
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230059CH
Medicare Provider Number
230059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
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
6050 Northland Dr NE Suite 200
Rockford, MI 49341
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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