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DSH230038H SPECTRUM HEALTH HOSPITALS (Terminated)
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Main Details
Name
SPECTRUM HEALTH HOSPITALS
Subdivision Name
Wound Healing and Burn Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038H
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/1/2012
Participating Start Date
10/1/2015
Participating Approval Date
6/19/2012
Last Recertification Date
9/11/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Spectrum Health Hospitals
Shawn Ulreich, VP Clinical Operations/CNE
(616) 391-1065
Primary Contact
Spectrum Health
Andrew Volk, Director, Pharmacy Business Operations, SHDS
(616) 267-0072
Addresses
Street Address
221 MICHIGAN Street NE
Suite 300
Grand Rapids, MI 49503-2543
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/21/15 Participated starting 7/1/2012, terminated 1/1/2014 through 9/30/15 due to voluntary withdrawal, reinstated based on new registration submitted in July 2015
08/21/2015
April 2025
April 2025
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