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DSH230151R Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital (Active)
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Main Details
Name
Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital
Subdivision Name
BEAUMONT PULMONARY & SLEEP MEDICINE CLINIC (Dept# 730168) -Botsford Pulmonary & Sleep Med - Sleep Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230151R
Medicare Provider Number
230151
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/24/2020
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Corewell Health
Thomas Schaible, Mgr, Pharmacy CHE
(947) 522-1169
Addresses
Street Address
28080 GRAND RIVER
SUITE 306
FARMINGTON HILLS, MI 48336
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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