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DSH230151F 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 MEDICAL CENTER-REDFORD (Dept# 730116) -Botsford Medical Ctr Redford
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230151F
Medicare Provider Number
230151
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/13/2015
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
15540 BEECH DALY RD
REDFORD, MI 48239-3804
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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