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DSH230038AX Corewell Health Grand Rapids Hospitals Butterworth Hospital (Active)
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Main Details
Name
Corewell Health Grand Rapids Hospitals Butterworth Hospital
Subdivision Name
Internal Medicine - Residency Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230038AX
Medicare Provider Number
230038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/13/2023
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Corewell Health
Lacey Alviar, Business Intell Analyst, Sr
(616) 391-1179
Addresses
Street Address
275 Michigan St NE
Grand Rapids, MI 49503
Billing Address
Corewell Health Grand Rapids Hospitals Butterworth Hospital
100 Michigan Street NE
Grand Rapids, MI 49503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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