340B Drug Pricing Program Database
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DSH230017F BRONSON METHODIST HOSPITAL (Terminated)
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Main Details
Name
BRONSON METHODIST HOSPITAL
Subdivision Name
Bronson West Michigan Cancer Center Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230017F
Medicare Provider Number
230017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/19/2016
Last Recertification Date
8/18/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Bronson Healthcare Group
James B. Falahee Jr., Sr. Vice President, Legal & Legislative Affairs
(269) 341-8907
Primary Contact
Bronson Healthcare Group
Troy Shirley, System Director of Pharmacy
(269) 341-8157
Addresses
Street Address
200 N. Park ST
Kalamazoo, MI 49007
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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