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DSH230066B Mercy Health Muskegon (Terminated)
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Main Details
Name
Mercy Health Muskegon
Subdivision Name
Mercy Health Lakes Urgent Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230066B
Medicare Provider Number
230066
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/29/2015
Last Recertification Date
8/27/2021
Termination Date
Termination Reason
10/1/2021
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Mercy Health
Kristi Nagengast, Vice President of Finance
(231) 672-3802
Primary Contact
Mercy Health Muskegon
Scott Butler, 340B Program Coordinator
(231) 672-4229
Addresses
Street Address
6401 Prairie Dr.
NORTON SHORES, MI 49444
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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