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DSH230165P Ascension St. John Hospital (Terminated)
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Main Details
Name
Ascension St. John Hospital
Subdivision Name
ST JOHN HOSPITAL- WARREN CANCER AND INFUSION CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230165P
Medicare Provider Number
230165
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/27/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/23/2009
Last Recertification Date
9/13/2021
Termination Date
Termination Reason
1/1/2022
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
Gary Blake, Director Pharmacy
(313) 343-3763
Addresses
Street Address
11885 12 MILE ROAD
SUITE 100A
WARREN, MI 48093
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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