340B Drug Pricing Program Database
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CAH231320-00 Trinity Health Shelby Hospital (Active)
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Main Details
Name
Trinity Health Shelby Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231320-00
Medicare Provider Number
231320
Additional Details
Current Program Status
Active
Registration Date
8/9/2010
Participating Start Date
8/9/2010
Participating Approval Date
8/9/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Trinity Health Shelby Hospital
John Thomas Foss, Vice President of Operations - Trinity Health Shelby Hospital
(231) 861-3029
Primary Contact
Trinity Health Muskegon Hospital
Scott Butler, Pharmaceutical Assistance/340B Program Coordinator
(231) 215-4459
Addresses
Street Address
72 SOUTH STATE STREET
SHELBY, MI 49455
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/6/12 - Deleted medicaid #(was 1696161,1696180 ) and NPI # (was 1285662981)
03/06/2012
May 2025
May 2025
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