340B Drug Pricing Program Database
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DSH230217W Oaklawn Hospital (Active)
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Main Details
Name
Oaklawn Hospital
Subdivision Name
OMG Allergy, Asthma, and Immunology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230217W
Medicare Provider Number
230217
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/19/2018
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Oaklawn Hospital
Andrew James Poole, CFO
(269) 789-3936
Primary Contact
Oaklawn Hospital
Nicole L. Patrick, Pharmacy Informatics Coordinator
(269) 789-7482
Addresses
Street Address
111 S Hamilton
MARSHALL, MI 49068-1537
Billing Address
Oaklawn Hospital
200 N Madison St
Marshall, MI 49068-1143
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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