340B Drug Pricing Program Database
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DSH230066CH Trinity Health Muskegon Hospital (Active)
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Main Details
Name
Trinity Health Muskegon Hospital
Subdivision Name
Trinity Health Medical Group, Diabetes and Endocrinology - Hackley - Diabetes and Endocrinology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230066CH
Medicare Provider Number
230066
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/4/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/8/2023
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Trinity Health Muskegon Hospital
Daniel G. Green, Vice President for Finance
(616) 685-6709
Primary Contact
Trinity Health Muskegon Hospital
Scott Butler, Pharmaceutical Assistance/340B Program Coordinator
(231) 215-4459
Addresses
Street Address
1675 Leahy St.
215A
Muskegon, MI 49442
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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