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SCH230093-06 Spectrum Health System - Big Rapids Hospital (Terminated)
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Main Details
Name
Spectrum Health System - Big Rapids Hospital
Subdivision Name
Rural Health Clinic - Tustin Family Medicine
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH230093-06
Medicare Provider Number
230093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/28/2020
Last Recertification Date
9/2/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Corewell Health
Amanda Knuth, Controller
(231) 592-4305
Primary Contact
Spectrum Health Hospital
Lacey Alviar, Business Intelligence Analyst
(616) 391-1179
Addresses
Street Address
111 E. Church Street
Tustin, MI 49688
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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