340B Drug Pricing Program Database
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DSH230236Y METROPOLITAN HOSPITAL (Active)
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Main Details
Name
METROPOLITAN HOSPITAL
Subdivision Name
UNIVERSITY OF MICHIGAN HEALTH-WEST - RHEUMATOLOGY / INFUSION CENTER - SUITE 106 - RHEUMATOLOGY / INFUSION CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230236Y
Medicare Provider Number
230236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/20/2022
Last Recertification Date
8/21/2024
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
4055 CASCADE ROAD SE
SUITE 106
GRAND RAPIDS, MI 49546
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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