340B Drug Pricing Program Database
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CAH231330-03 Marlette Regional Hospital (Active)
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Main Details
Name
Marlette Regional Hospital
Subdivision Name
Port Sanilac Healthcare
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231330-03
Medicare Provider Number
231330
Outpatient Facility Provider Number
238582
Additional Details
Current Program Status
Active
Registration Date
10/10/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/8/2013
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Marlette
Kim Gentner, CFO
(989) 635-4230
Primary Contact
Marlette Regional Hospital
Ian Bradley, Pharmacy Manager
(989) 635-4125
Addresses
Street Address
245 S Ridge St
Port Sanilac, MI 48469
Billing Address
Marlette Regional Hospital
2770 Main Street
Marlette, MI 48453
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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