340B Drug Pricing Program Database
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DSH230059R SAINT MARY'S HEALTH CARE (Active)
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Main Details
Name
SAINT MARY'S HEALTH CARE
Subdivision Name
MHPP Rivertown Office
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230059R
Medicare Provider Number
230059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/3/2014
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Trinity Health Muskegon Hospital
Daniel G. Green, Vice President for Finance
(616) 685-6709
Primary Contact
Saint Mary's Health Care
Robert D Bird, 340B Program Manager
(616) 685-1107
Addresses
Street Address
3380 44th St SW
Grandville, MI 49418
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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