340B Drug Pricing Program Database
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DSH230096 STURGIS HOSPITAL (Terminated)
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Main Details
Name
STURGIS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230096
Medicare Provider Number
230096
Additional Details
Current Program Status
Terminated
Registration Date
6/3/2008
Participating Start Date
7/1/2011
Participating Approval Date
6/17/2011
Last Recertification Date
9/10/2018
Termination Date
Termination Reason
7/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Sturgis Hospital
Shari Ransberger, Vice President of Quality Management
(269) 659-4403
Primary Contact
Sturgis Hospital
Dana Archual, Interim Director of Pharmacy
(269) 659-4409
Addresses
Street Address
916 MYRTLE AVENUE
STURGIS, MI 49091
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/11/13 documentation provided to show HRSA Form for state or local contract was signed prior to intiial registration 05/23/11 DOC RECD TO CONFIRM ELIG DSH ADJ % PARTICIPATING 07/01/08 TO 07/01/09, NOT PARTICIPATING 07/09 TO 06/30/11; 5/30/08-DOC RECD TO CONFIRM ELIG DSH ADJ %
09/11/2013
05/23/11 DOC RECD TO CONFIRM ELIG DSH ADJ % PARTICIPATING 07/01/08 TO 07/01/09, NOT PARTICIPATING 07/09 TO 06/30/11; 5/30/08-DOC RECD TO CONFIRM ELIG DSH ADJ %
06/21/2011
05/23/11 DOC RECD TO CONFIRM ELIG DSH ADJ % PARTICIPATING 07/01/08 TO 07/01/09, NOT PARTICIPATING 07/09 TO 06/30/11; 5/30/08-DOC RECD TO CONFIRM ELIG DSH ADJ %
06/21/2011
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