340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH230021AH LAKELAND REGIONAL HEALTH SYSTEM LAKELAND MEDICAL CENTER ST JOSEPH (Terminated)
Print
Main Details
Name
LAKELAND REGIONAL HEALTH SYSTEM LAKELAND MEDICAL CENTER ST JOSEPH
Subdivision Name
Lakeland Cardiology Niles - Cardiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230021AH
Medicare Provider Number
230021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/10/2018
Last Recertification Date
8/30/2023
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Corewell Health
Natalie Baggio, Sr VP Clinical Operations
(217) 825-8212
Primary Contact
Spectrum Health
Michael Taylor, Analyst Business Intell.
(269) 262-8670
Addresses
Street Address
61 N. St. Joseph Avenue
Niles, MI 49120
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session