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DSH230046GV UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Active)
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Main Details
Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Domino Farms Sleep Lab (315418) - Sleep
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230046GV
Medicare Provider Number
230046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/8/2023
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(734) 936-4338
Primary Contact
University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867
Addresses
Street Address
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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