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DSH230121Y The Memorial Hospital d/b/a Memorial Healthcare (Terminated)
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Main Details
Name
The Memorial Hospital d/b/a Memorial Healthcare
Subdivision Name
Memorial Chesaning Family Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230121Y
Medicare Provider Number
230121
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/26/2016
Last Recertification Date
9/10/2019
Termination Date
Termination Reason
10/1/2020
Site closure
Contacts
Authorizing Official
Memorial Healthcare
Colleen Koppenhaver, Chief Financial Officer
(989) 729-4824
Primary Contact
Memorial Healthcare
Kelli Pardee, 340B Program Manager
(989) 729-4373
Addresses
Street Address
9000 PEET RD
CHESANING, MI 48616-1752
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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