Covered Entity Details

DSH230297 Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center (Active)

Main Details

Name

Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center

Subdivision Name

Type

Disproportionate Share Hospital

Rural

340B ID

DSH230297

Medicare Provider Number

230297

Additional Details

Current Program Status

Active

Registration Date

5/18/2006

Participating Start Date

7/1/2006

Participating Approval Date

5/18/2006

Last Recertification Date

9/3/2024

Contacts

Authorizing Official

Karmanos Cancer Center
Regina Doxtader, VP-Chief Financial Officer
(313) 576-8657

Primary Contact

Karmanos Cancer Center
Surender Kanaparthi, VP-Chief Pharmacy Officer
(313) 576-8809

Addresses

Street Address

4100 John R St
DETROIT, MI 48201

Billing Address
Same as Street Address

Comment	Last Updated On
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6/28/2011 -DOC.RECD.TO CONFIRM NON-PROFIT STATUS. 4/5/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE; 3/27/09 NEW AUTHORIZING OFFICIAL; 5/16/06- INFORMATION SUBMITTED CONFIRMING DSH ADJUSTMENT % > 11.75%;	07/06/2011
6/28/2011 -DOC.RECD.TO CONFIRM NON-PROFIT STATUS. 4/5/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE; 3/27/09 NEW AUTHORIZING OFFICIAL; 5/16/06- INFORMATION SUBMITTED CONFIRMING DSH ADJUSTMENT % > 11.75%;	07/06/2011

340B Drug Pricing Program Database