340B Drug Pricing Program Database
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DSH230236S METROPOLITAN HOSPITAL (Active)
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Main Details
Name
METROPOLITAN HOSPITAL
Subdivision Name
METRO HEALTH SOUTHWEST
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230236S
Medicare Provider Number
230236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/11/2017
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(734) 936-4338
Primary Contact
University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867
Addresses
Street Address
2215 44TH ST SW
WYOMING, MI 49509
Billing Address
Metro Health - Accounts Payable
PO Box 911
Wyoming, MI 49509-0911
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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