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DSH230020A OAKWOOD HOSPITAL & MEDICAL CENTER (OHMC) (Terminated)
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Main Details
Name
OAKWOOD HOSPITAL & MEDICAL CENTER (OHMC)
Subdivision Name
Oakwood Breast Care Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230020A
Medicare Provider Number
230020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/8/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/23/2012
Last Recertification Date
8/31/2016
Termination Date
Termination Reason
1/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Beaumont Health
Carolyn Wilson, Chief Operating Officer
(947) 522-3338
Primary Contact
Oakwood
Neha Desai, Director, Pharmacy
(313) 593-7255 Ext: 37268
Addresses
Street Address
18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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