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DSH230046AC UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Terminated)
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Main Details
Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Livonia Specialty Care - Ambulatory Surgery Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230046AC
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
8/24/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
University of Michigan Hospitals and Health Centers
David Miller, President University of Michigan Health Systems
(734) 647-6313
Primary Contact
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER
Rachel G Cortis, Associate Chief Operating Officer
(734) 232-1590
Addresses
Street Address
19900 Haggerty Rd
Suite 100
Livonia, MI 48152
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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