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DSH230297P Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center (Active)
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Main Details
Name
Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center
Subdivision Name
WEISBERG CANCER CENTER - Weisberg Cancer Center - Special Procedure
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230297P
Medicare Provider Number
230297
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/17/2022
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Karmanos Cancer Center
Regina Doxtader, VP-Chief Financial Officer
(313) 576-8657
Primary Contact
Karmanos Cancer Center
Surender Kanaparthi, VP-Chief Pharmacy Officer
(313) 576-8809
Addresses
Street Address
31995 NORTHWESTERN HWY
FARMINGTON HILLS, MI 48334-1625
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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