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DSH230142L Oakwood Healthcare, Inc. d/b/a Beaumont Hospital – Wayne (Terminated)
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Main Details
Name
Oakwood Healthcare, Inc. d/b/a Beaumont Hospital – Wayne
Subdivision Name
Oakwood Healthcare Center Westland / Family Medicine / Psychiatry - Psychiatry
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230142L
Medicare Provider Number
230142
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/5/2020
Last Recertification Date
8/29/2022
Termination Date
Termination Reason
7/1/2023
Other
Contacts
Authorizing Official
Beaumont Health
Nancy Ann Susick, COO
(947) 522-3349
Primary Contact
Beaumont Hospital Wayne
Richard Taylor, Director of Pharmacy
(734) 467-6754
Addresses
Street Address
2001 South Merriman
Suite 100
Westland, MI 48186
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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