340B Drug Pricing Program Database
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DSH230066 Trinity Health Muskegon Hospital (Active)
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Main Details
Name
Trinity Health Muskegon Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230066
Medicare Provider Number
230066
Additional Details
Current Program Status
Active
Registration Date
9/12/2007
Participating Start Date
1/1/2005
Participating Approval Date
9/12/2007
Last Recertification Date
9/6/2024
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
1500 E. Sherman Blvd.
Muskegon, MI 49444
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Has there been a change in the hospital classification? And/or has the Medicare Provider Number (MPN) changed?
10/03/2022
2/23/07- DOC RECD CONFIRM ELIG DSH ADJ %
09/12/2007
June 2025
June 2025
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