340B Drug Pricing Program Database
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DSH230038AH SPECTRUM HEALTH HOSPITALS (Terminated)
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Main Details
Name
SPECTRUM HEALTH HOSPITALS
Subdivision Name
TRANSPLANT ADVANCED HEART TRANSPLANT
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038AH
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/30/2015
Last Recertification Date
9/11/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Spectrum Health Hospitals
Shawn Ulreich, VP Clinical Operations/CNE
(616) 391-1065
Primary Contact
Spectrum Health
Andrew Volk, Director, Pharmacy Business Operations, SHDS
(616) 267-0072
Addresses
Street Address
2900 BRADFORD Street NE
GRAND RAPIDS, MI 49525-6427
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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