340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH230038B Corewell Health Grand Rapids Hospitals Butterworth Hospital (Active)
Print
Main Details
Name
Corewell Health Grand Rapids Hospitals Butterworth Hospital
Subdivision Name
Endoscopy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038B
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/28/2006
Participating Start Date
1/1/2007
Participating Approval Date
11/28/2006
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Corewell Health
Lacey Alviar, Business Intell Analyst, Sr
(616) 391-1179
Addresses
Street Address
4100 LAKE DRIVE SE
GRAND RAPIDS, MI 49546
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