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CAH231340-00 HURON MEMORIAL HOSPITAL (Active)
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Main Details
Name
HURON MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231340-00
Medicare Provider Number
231340
Additional Details
Current Program Status
Active
Registration Date
4/1/2021
Participating Start Date
4/8/2021
Participating Approval Date
4/8/2021
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
McLaren Health Care
Kenneth Baranski, VP Chief Financial Officer
(989) 912-9860
Primary Contact
McLaren Health Care
Tiffany Harwood, Corporate Director of 340B Data Analytics
(734) 512-8778
Addresses
Street Address
1100 SOUTH VAN DYKE
BAD AXE, MI 48413
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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