340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH230165M ST JOHN HOSPITAL & MEDICAL CENTER (Terminated)
Print
Main Details
Name
ST JOHN HOSPITAL & MEDICAL CENTER
Subdivision Name
MEDICAL PAVILION TWO
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230165M
Medicare Provider Number
230165
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/29/2007
Participating Start Date
1/1/2008
Participating Approval Date
11/28/2007
Last Recertification Date
8/31/2015
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
St John Providence
Douglas Winner, CFO, Acute Care Operations
(586) 753-0662
Primary Contact
St John Hospital and Medical Center
TOMASINE MARX, CHIEF FINANCIAL OFFICER
(313) 343-7676
Addresses
Street Address
7633 E. JEFFERSON
DETROIT, MI 48214
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