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DSH230022 COMMUNITY HEALTH CENTER BRANCH CTY (Active)
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Main Details
Name
COMMUNITY HEALTH CENTER BRANCH CTY
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230022
Medicare Provider Number
230022
Additional Details
Current Program Status
Active
Registration Date
1/10/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/11/2018
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Insight Hospital and Medical Center Chicago
David Charles Hughes, Chief Pharmacy Officer
(401) 249-1963
Primary Contact
Promedica Coldwater Regional Hospital
Scott Michael Wolschleger, Director of Pharmacy
(517) 279-5486
Addresses
Street Address
274 EAST CHICAGO STREET
COLDWATER, MI 49036
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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