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DSH230236J METROPOLITAN HOSPITAL (Terminated)
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Main Details
Name
METROPOLITAN HOSPITAL
Subdivision Name
METRO HEALTH SPORTS MEDICINE CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230236J
Medicare Provider Number
230236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/16/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/11/2017
Last Recertification Date
9/10/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Metro Health Hospital
Kris Kurtz, CFO
(616) 252-4844
Primary Contact
Metro Health Hospital
Peter Joseph Haverkamp, Director of Pharmacy Services
(616) 252-7216
Addresses
Street Address
4300 Cascade Rd SE
Grand Rapids, MI 49546
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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