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DSH230151A Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital (Active)
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Main Details
Name
Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital
Subdivision Name
BEAUMONT RHEUMATOLOGY ASSOCIATES (Dept# 730170) -Rheumatology Bone Densometer
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230151A
Medicare Provider Number
230151
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/11/2015
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Corewell Health
Thomas Schaible, Mgr, Pharmacy CHE
(947) 522-1169
Addresses
Street Address
28100 GRAND RIVER AVE
SUITE 314
FARMINGTON HILLS, MI 48336-5970
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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