340B Drug Pricing Program Database
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DSH230230BX EDWARD W SPARROW HOSPITAL ASSOCIATION (Terminated)
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Main Details
Name
EDWARD W SPARROW HOSPITAL ASSOCIATION
Subdivision Name
Sparrow Medical Group Owosso Internal Medicine - Internal Medicine Outpatient
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230230BX
Medicare Provider Number
230230
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/25/2023
Last Recertification Date
Termination Date
Termination Reason
1/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Sparrow
William Howe, SHS-VP Chief Financial Officer Sparrow Hospital
(517) 253-6102
Primary Contact
Sparrow
Todd M Belding, Director of Pharmacy Sparrow Health System
(517) 253-2376
Addresses
Street Address
1457 M-54
Unit 2
Owosso, MI 48867
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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