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SCH230036-00 MidMichigan Medical Center-Alpena (Terminated)
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Main Details
Name
MidMichigan Medical Center-Alpena
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH230036-00
Medicare Provider Number
230036
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/1/2018
Last Recertification Date
11/9/2017
Termination Date
Termination Reason
7/1/2019
Change of covered entity type
Contacts
Authorizing Official
MyMichigan Medical Center Midland
Chuck Sherwin, President
(989) 794-7625
Primary Contact
MidMichigan Health System
Kenneth P Spencer, Manager Pharmacy Informatics
(989) 839-1522
Addresses
Street Address
1501 W. CHISHOLM
ALPENA, MI 49707
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2011; Terminated 1/1/2018; Reinstated as an SCH starting 10/1/2018.
08/01/2018
Participated starting 1/6/2011; Terminated 1/1/2018; Reinstated as an SCH starting 10/1/2018.
07/13/2018
3/14/17 Participating 4/1/2011 until terminated effective 1/1/2014, reinstated effective 4/1/2017. 6/29/2011 - DOC. RECD.TO CONFIRM NON-PROFIT STATUS
03/15/2017
6/29/2011 - DOC. RECD.TO CONFIRM NON-PROFIT STATUS
07/06/2011
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