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DSH230036 MyMichigan Medical Center Alpena (Active)
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Main Details
Name
MyMichigan Medical Center Alpena
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230036
Medicare Provider Number
230036
Additional Details
Current Program Status
Active
Registration Date
4/4/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/3/2019
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
MyMichigan Medical Center Alpena
Hunter Nostrant, President
(989) 356-7245
Primary Contact
MyMichigan Health
Lisa Waibel, 340B Manager
(989) 794-5231
Addresses
Street Address
1501 W. CHISHOLM
ALPENA, MI 49707
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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