340B Drug Pricing Program Database
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DSH230165Z Ascension St. John Hospital (Terminated)
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Main Details
Name
Ascension St. John Hospital
Subdivision Name
Dr. Hadesman Internal Medicine/St John Hospital and Medical Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230165Z
Medicare Provider Number
230165
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/27/2014
Last Recertification Date
8/15/2023
Termination Date
Termination Reason
7/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Ascension Michigan
Michael McCullough, CFO
(586) 753-0653
Primary Contact
Ascension Rx
Kelsey Fiser, 340B Program Director
(615) 222-5190
Addresses
Street Address
7633 East Jefferson Ave Suite 290
Detroit, MI 48214
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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