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RRC230208-00 Sparrow Carson Hospital (Terminated)
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Main Details
Name
Sparrow Carson Hospital
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC230208-00
Medicare Provider Number
230208
Additional Details
Current Program Status
Terminated
Registration Date
9/13/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/13/2019
Last Recertification Date
Termination Date
Termination Reason
10/1/2020
DSH percentage below statutory minimum
Contacts
Authorizing Official
Sparrow Ionia Hospital
Mark Brisboe, Chief Financial Officer
(616) 523-1702
Primary Contact
Sparrow
Todd M Belding, Director of Pharmacy Sparrow Health System
(517) 253-2376
Addresses
Street Address
406 EAST ELM STREET
CARSON CITY, MI 48811
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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