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DSH230121V The Memorial Hospital d/b/a Memorial Healthcare (Active)
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Main Details
Name
The Memorial Hospital d/b/a Memorial Healthcare
Subdivision Name
Memorial Healthcare Family Medicine- King Street
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230121V
Medicare Provider Number
230121
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/26/2016
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Memorial Healthcare
Jorri Tremain, Chief Financial Officer
(989) 729-4466
Primary Contact
Memorial Healthcare
Tessa Luna, 340B Coordinator
(989) 721-2349
Addresses
Street Address
818 W. King St
Ste 101
OWOSSO, MI 48867
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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