340B Drug Pricing Program Database
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CAH231315-00 ASCENSION BORGESS-LEE HOSPITAL (Active)
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Main Details
Name
ASCENSION BORGESS-LEE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231315-00
Medicare Provider Number
231315
Additional Details
Current Program Status
Active
Registration Date
9/30/2010
Participating Start Date
9/30/2010
Participating Approval Date
9/30/2010
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Ascension Michigan
Michael McCullough, CFO
(586) 753-0653
Primary Contact
Ascension Borgess-Lee Hospital
Kwanta Nathalang Wu, Pharmacy Manager
(269) 783-3025
Addresses
Street Address
420 WEST HIGH STREET
DOWAGIAC, MI 49047
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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