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DSH230230Q EDWARD W SPARROW HOSPITAL ASSOCIATION (Terminated)
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Main Details
Name
EDWARD W SPARROW HOSPITAL ASSOCIATION
Subdivision Name
TCI Cardiology GPB Diagnostic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230230Q
Medicare Provider Number
230230
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/12/2013
Last Recertification Date
8/26/2016
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
Sparrow Hospital
PAULA M. REICHLE, SR VP AND CFO
(517) 364-5400
Primary Contact
Sparrow Hospital
JOHN PIASECKI, PHARMACY MANAGER
(517) 364-2415
Addresses
Street Address
405 W. Greenlawn, Ste. 400
Lansing, MI 48910
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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