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DSH230151AA Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital (Active)
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Main Details
Name
Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital
Subdivision Name
Corewell Health Farmington Hills Hospital Imaging - 39000 W 7 Mile Rd
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230151AA
Medicare Provider Number
230151
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/29/2023
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Corewell Health
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Primary Contact
Corewell Health
Thomas Schaible, Mgr, Pharmacy CHE
(947) 522-1169
Addresses
Street Address
39000 W 7 MILE RD
STE 1000
LIVONIA, MI 48152-1006
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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