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DSH230035D Corewell Health Greenville Hospital (Active)
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Main Details
Name
Corewell Health Greenville Hospital
Subdivision Name
Family Medicine - Lakeview
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230035D
Medicare Provider Number
230035
Outpatient Facility Provider Number
238647
Additional Details
Current Program Status
Active
Registration Date
1/8/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/10/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Corewell Health
Amanda Knuth, Finance Controller
(231) 592-4305
Primary Contact
Corewell Health
Lacey Alviar, Business Intell Analyst, Sr
(616) 391-1179
Addresses
Street Address
8650 Howard City Edmore Rd.
Lakeview, MI 48850
Billing Address
Corewell Health Greenville Hospital
615 S Bower St
Greenville, MI 48838
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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