340B Drug Pricing Program Database
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DSH230017E BRONSON METHODIST HOSPITAL (Active)
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Main Details
Name
BRONSON METHODIST HOSPITAL
Subdivision Name
Bronson Outpatient Surgery Center - Walnut
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230017E
Medicare Provider Number
230017
Outpatient Facility Provider Number
230017
Additional Details
Current Program Status
Active
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Bronson Healthcare Group
James B. Falahee Jr., Sr. Vice President, Legal & Legislative Affairs
(269) 341-8907
Primary Contact
Bronson Healthcare Group
Troy Shirley, System Director of Pharmacy
(269) 341-8157
Addresses
Street Address
125 W Walnut Street
Kalamazoo, MI 49007
Billing Address
Bronson Accounts Payable
P.O. BOX 4001
Kalamazoo, MI 49003-4001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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