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DSH230089A WILLIAM BEAUMONT HOSPITAL D/B/A Corewell Health Beaumont Grosse Pointe Hospital (Active)
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Main Details
Name
WILLIAM BEAUMONT HOSPITAL D/B/A Corewell Health Beaumont Grosse Pointe Hospital
Subdivision Name
Corewell Health Beaumont Grosse Pointe Hospital Pain Management - 16815 E Jefferson Ave
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230089A
Medicare Provider Number
230089
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/8/2016
Last Recertification Date
8/21/2024
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
16815 East Jefferson Ave.
Suite L030
Grosse Pointe, MI 48230
Billing Address
Beaumont Health
750 Stepheson Highway
Troy, MI 48083
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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