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DSH230020J Oakwood Healthcare, Inc. d/b/a Beaumont Hospital - Dearborn (Terminated)
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Main Details
Name
Oakwood Healthcare, Inc. d/b/a Beaumont Hospital - Dearborn
Subdivision Name
Beaumont Infectious Disease-Dearborn
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230020J
Medicare Provider Number
230020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/17/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/1/2016
Last Recertification Date
8/14/2023
Termination Date
Termination Reason
10/1/2024
Hospital Outpatient facility no longer eligible
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
18181 Oakwood Blvd
Ste 101
Dearborn, MI 48124
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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