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DSH230046Q UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Terminated)
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Main Details
Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Canton Health Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230046Q
Medicare Provider Number
230046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/3/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/17/2012
Last Recertification Date
8/6/2015
Termination Date
Termination Reason
1/1/2016
Site closure
Contacts
Authorizing Official
University Of Michigan Hospitals and Health Centers
Jeffrey S. Desmond, Chief Medical Officer
(734) 936-5814
Primary Contact
University of Michigan Hospitals and Health Centers
Alice Schuman, Asst.Director For Business Operations, UMH Pharmacy Administration
(734) 936-8210
Addresses
Street Address
1051 Canton Center Rd
Canton, MI 48187
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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