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DSH230070R COVENANT MEDICAL CENTER (Active)
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Main Details
Name
COVENANT MEDICAL CENTER
Subdivision Name
COVENANT RESPIRATORY THERAPY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230070R
Medicare Provider Number
230070
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/24/2017
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Covenant Medical Center
KEVIN S. ALBOSTA, CFO
(989) 583-2769
Primary Contact
Covenant Medical Center
Aaron Feinauer, Director of Pharmacy
(989) 583-4788
Addresses
Street Address
700 COOPER AVE
SAGINAW, MI 48602
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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