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DSH230021 LAKELAND REGIONAL HEALTH SYSTEM LAKELAND MEDICAL CENTER ST JOSEPH DBA COREWELL HEALTH LAKELAND HOSPITALS (Active)
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Main Details
Name
LAKELAND REGIONAL HEALTH SYSTEM LAKELAND MEDICAL CENTER ST JOSEPH DBA COREWELL HEALTH LAKELAND HOSPITALS
Subdivision Name
LAKELAND HOSPITAL - ST JOSEPH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230021
Medicare Provider Number
230021
Additional Details
Current Program Status
Active
Registration Date
5/2/2008
Participating Start Date
10/1/2004
Participating Approval Date
5/2/2008
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Lakeland Regional Health DBA Corewell Health
Nicole Weston, Business Analyst
(269) 985-4431
Addresses
Street Address
1234 NAPIER AVENUE
ST JOSEPH, MI 49085
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/8/04 UPDATED ENTITY NAME (WAS LAKELAND HOSPITALS AT NILES & ST JOSEPH INC); 12/8/04 ADDED MEDICAID#
01/21/2010
June 2025
June 2025
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