340B Drug Pricing Program Database
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DSH230066CR Trinity Health Muskegon Hospital (Approved)
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Main Details
Name
Trinity Health Muskegon Hospital
Subdivision Name
Trinity Health Medical Group, Neurology - Sherman Pavillion - Neurology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230066CR
Medicare Provider Number
230066
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/24/2025
Last Recertification Date
Contacts
Authorizing Official
Trinity Health Muskegon Hospital
Daniel G. Green, Vice President for Finance
(616) 685-6709
Primary Contact
Trinity Health Muskegon Hospital
Scott Butler, Pharmaceutical Assistance/340B Program Coordinator
(231) 215-4459
Addresses
Street Address
1150 E. Sherman Blvd.
Ste. 2400
Muskegon, MI 49444
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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