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DSH230046FX UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Active)
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Main Details
Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Domino Farms Cardiac (311757) - Cardiac
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230046FX
Medicare Provider Number
230046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/20/2022
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(734) 936-4338
Primary Contact
University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867
Addresses
Street Address
24 Frank Lloyd Wright Dr
1300
Ann Arbor, MI 48105-9484
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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