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RRC230077-00 MYMICHIGAN MEDICAL CENTER SAGINAW (Active)
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Main Details
Name
MYMICHIGAN MEDICAL CENTER SAGINAW
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC230077-00
Medicare Provider Number
230077
Additional Details
Current Program Status
Active
Registration Date
1/18/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/3/2022
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
MidMichigan Medical Center - Alpena
michael joseph erickson, President
(989) 839-3378
Primary Contact
MyMichigan Health
Lisa Waibel, 340B Manager
(989) 794-5231
Addresses
Street Address
800 S WASHINGTON
SAGINAW, MI 48601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (1/1/2019) until terminated effective date: (7/1/2021) reinstatement effective date: (4/1/2022)
02/03/2022
May 2025
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