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DSH230121AH The Memorial Hospital d/b/a Memorial Healthcare (Terminated)
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Main Details
Name
The Memorial Hospital d/b/a Memorial Healthcare
Subdivision Name
Memorial Healthcare Gastroenterology- Flint
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230121AH
Medicare Provider Number
230121
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/6/2019
Last Recertification Date
8/31/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Memorial Healthcare
Jorri Tremain, Chief Financial Officer
(989) 729-4466
Primary Contact
Memorial Healthcare
Tessa Luna, 340B Coordinator
(989) 721-2349
Addresses
Street Address
1123 VILLA LINDE CT
Ste 38
FLINT, MI 48532
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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