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DSH230217D Oaklawn Hospital (Active)
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Main Details
Name
Oaklawn Hospital
Subdivision Name
Oaklawn Hematology/Oncology Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230217D
Medicare Provider Number
230217
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/7/2015
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Oaklawn Hospital
Andrew James Poole, CFO
(269) 789-3936
Primary Contact
Oaklawn Hospital
Nicole L. Patrick, Pharmacy Informatics Coordinator
(269) 789-7482
Addresses
Street Address
215 East Mansion Street
Suite 2E
Marshall, MI 49068
Billing Address
Oaklawn Hospital
200 North Madison Street
Marshall, MI 49068
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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