340B Drug Pricing Program Database
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DSH230046EW UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Active)
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Main Details
Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
EAST ANN ARBOR AMBULATORY SURGERY/ - Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230046EW
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
8/20/2024
Contacts
Authorizing Official
University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(323) 240-3032
Primary Contact
University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867
Addresses
Street Address
4260 PLYMOUTH RD
ANN ARBOR, MI 48109-2700
Billing Address
EAST ANN ARBOR AMBULATORY
4260 Plymouth Rd
Ann Arbor, MI 48109-2700
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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