340B Drug Pricing Program Database
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DSH230038AC Corewell Health Grand Rapids Hospitals Butterworth Hospital (Terminated)
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Main Details
Name
Corewell Health Grand Rapids Hospitals Butterworth Hospital
Subdivision Name
LHCP - Gynecology and Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038AC
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/15/2015
Last Recertification Date
8/20/2024
Termination Date
Termination Reason
1/1/2025
Business decision by the Covered Entity
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
145 Michigan Street NE
Suite 6300
Grand Rapids, MI 49503
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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