340B Drug Pricing Program Database
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DSH230015 THREE RIVERS HEALTH (Active)
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Main Details
Name
THREE RIVERS HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230015
Medicare Provider Number
230015
Additional Details
Current Program Status
Active
Registration Date
5/30/2008
Participating Start Date
10/1/2011
Participating Approval Date
6/2/2008
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Beacon Health System, Inc.
JEFFREY P. COSTELLO, CFO
(574) 647-3549
Primary Contact
Three Rivers Health
Laura Kristen ONeil, 340B Coordinator
(269) 689-6930
Addresses
Street Address
701 S. HEALTH PARKWAY
THREE RIVERS, MI 49093
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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09/29/11 participating 07/01/2008 to 6/30/2011, NOT PARTICIPATING 7/1/11 THRU 9/30/11, re-instated for 10/01/11 ON 9/29/11 [Non-participating end date listed incorrectly as 6/30/11 in original comment; updated 6/7/12]
06/07/2012
09/29/11 participating 07/01/2008 to 6/30/2011, NOT PARTICIPATING 7/1/11 THRU 9/30/11, re-instated for 10/01/11 ON 9/29/11 [Ineligibility end date listed incorrectly as 6/30/11 in original comment; updated 6/7/12]
06/07/2012
09/29/11 participating 07/01/2008 to 6/30/2011, NOT PARTICIPATING 7/1/11 THRU 6/30/11, re-instated for 10/01/11 ON 9/29/11
09/29/2011
5/29/08-DOC RECD TO CONFIRM ELIG DSH ADJ %
06/30/2011
09/29/11, re-instated for 10/01/11 was participating 07/01/2008 to 07/01/2011
05/30/2008
April 2025
April 2025
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