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DSH230217 Oaklawn Hospital (Active)
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Main Details
Name
Oaklawn Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230217
Medicare Provider Number
230217
Additional Details
Current Program Status
Active
Registration Date
8/30/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/20/2011
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Oaklawn Hospital
Andrew James Poole, CFO
(269) 789-3936
Primary Contact
Oaklawn Hospital
Nicole L. Patrick, Pharmacy Informatics Coordinator
(269) 789-7482
Addresses
Street Address
200 North Madison
Marshall, MI 49068
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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