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DSH230151H Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital (Active)
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Main Details
Name
Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital
Subdivision Name
BEAUMONT HOSPITAL, FARMINGTON HILLS, INFUSION CENTER (Dept# 743015) -Infusion Center RO
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230151H
Medicare Provider Number
230151
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/5/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Corewell Health
Thomas Schaible, Mgr, Pharmacy CHE
(947) 522-1169
Addresses
Street Address
3601 West Thirteen Mile Rd
1 South Infusion Suite
Royal Oak, MI 48073-6712
Billing Address
Botsford General Hospital
PO Box 860163
Minneapolis, MN 55486-0163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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