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SCH230303-00 Munson Healthcare Manistee Hospital (Terminated)
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Main Details
Name
Munson Healthcare Manistee Hospital
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH230303-00
Medicare Provider Number
230303
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/27/2017
Last Recertification Date
8/17/2020
Termination Date
Termination Reason
1/1/2021
Loss of qualifying hospital status
Contacts
Authorizing Official
Munson Healthcare Manistee Hospital
Darrell Lavender, COO
(231) 398-1508
Primary Contact
Munson Healthcare Manistee Hospital
Ron Villamaria, Director of Pharmacy Services
(231) 398-1158
Addresses
Street Address
1465 E. PARKDALE AVE
MANISTEE, MI 49660
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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