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DSH230297A Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center (Active)
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Main Details
Name
Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center
Subdivision Name
WEISBERG CANCER CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230297A
Medicare Provider Number
230297
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/18/2006
Participating Start Date
4/1/2002
Participating Approval Date
5/18/2006
Last Recertification Date
8/27/2024
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
31995 NORTHWESTERN HWY
FARMINGTON HILLS, MI 48334
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/28/2011-DOC.RECD.TO CONFIRM NON-PROFIT STATUS. 4/5/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE; 9/14/06 - EFFECTIVE 12/2/05 THE CLINIC OPERATIONS TRANSFERRED TO KCI FROM HARPER. OPA HAS CHANGED THE ADD DATE FROM 7/1/2006 TO 4/1/02 (THE DATE THAT WEISBERG FIRST BECAME ELIGIBLE FOR 340B). INFORMATION SUBMITTED CONFIRMING DSH ADJUSTMENT % > 11.75%; 3/27/09 NEW AUTHORIZING OFFICIAL
07/06/2011
6/28/2011-DOC.RECD.TO CONFIRM NON-PROFIT STATUS. 4/5/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE; 9/14/06 - EFFECTIVE 12/2/05 THE CLINIC OPERATIONS TRANSFERRED TO KCI FROM HARPER. OPA HAS CHANGED THE ADD DATE FROM 7/1/2006 TO 4/1/02 (THE DATE THAT WEISBERG FIRST BECAME ELIGIBLE FOR 340B). INFORMATION SUBMITTED CONFIRMING DSH ADJUSTMENT % > 11.75%; 3/27/09 NEW AUTHORIZING OFFICIAL
07/06/2011
April 2025
April 2025
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