340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH230038A SPECTRUM HEALTH HOSPITALS (Terminated)
Print
Main Details
Name
SPECTRUM HEALTH HOSPITALS
Subdivision Name
SPECTRUM HEALTH-BLODGETT CAMPUS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038A
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/28/2006
Participating Start Date
1/1/2007
Participating Approval Date
11/28/2006
Last Recertification Date
8/24/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Spectrum Health Hospitals
Shawn Ulreich, VP Clinical Operations/CNE
(616) 391-1065
Primary Contact
Spectrum Health System - Grand Rapids, MI
Ryan Wells Foster, Dir. Pharmacy
(616) 391-3028
Addresses
Street Address
1840 WEALTHY SE
GRAND RAPIDS, MI 49506
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
7/20/07- ADDED SHIP TO ADDRESS
11/28/2006
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session