340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH230070B COVENANT MEDICAL CENTER (Terminated)
Print
Main Details
Name
COVENANT MEDICAL CENTER
Subdivision Name
COVENANT HEALTHCARE MACKINAW
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230070B
Medicare Provider Number
230070
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/18/2007
Participating Start Date
10/1/2004
Participating Approval Date
10/18/2007
Last Recertification Date
8/15/2016
Termination Date
Termination Reason
1/1/2017
Site closure
Contacts
Authorizing Official
Covenant Medical Center
KEVIN S. ALBOSTA, CFO
(989) 583-2769
Primary Contact
Covenant HealthCare
TERRENCE WERNETTE, DIRECTOR OF PHARMACY
(989) 583-4075
Addresses
Street Address
5400 MACKINAW
SAGINAW, MI 48602
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
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