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DSH230038P Spectrum Health System (Terminated)
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Main Details
Name
Spectrum Health System
Subdivision Name
Spectrum Health Blodgett Campus - Observation
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038P
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/23/2014
Last Recertification Date
8/26/2022
Termination Date
Termination Reason
4/1/2023
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Spectrum Health Hospital
Lacey Alviar, Business Intelligence Analyst
(616) 391-1179
Addresses
Street Address
1840 Wealthy SE
GRAND RAPIDS, MI 49506
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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