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DSH230046FA UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Active)
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Main Details
Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
BURLINGTON BUILDING - Physical Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230046FA
Medicare Provider Number
230046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
3/7/2019
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(734) 936-4338
Primary Contact
University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867
Addresses
Street Address
325 E EISENHOWER PARKWAY SUITE 202
ANN ARBOR, MI 48108-3346
Billing Address
BURLINGTON BUILDING
325 E Eisenhower Pkwy
Lower Level
Ann Arbor, MI 48108-3364
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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