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DSH230070F COVENANT MEDICAL CENTER (Active)
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Main Details
Name
COVENANT MEDICAL CENTER
Subdivision Name
CANCER CARE AND INFUSION THERAPY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230070F
Medicare Provider Number
230070
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/18/2016
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Covenant Medical Center
KEVIN S. ALBOSTA, CFO
(989) 583-2769
Primary Contact
Covenant Medical Center
Aaron Feinauer, Director of Pharmacy
(989) 583-4788
Addresses
Street Address
5400 MACKINAW RD
SAGINAW, MI 48604
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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