340B Drug Pricing Program Database
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DSH230217AD Oaklawn Hospital (Active)
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Main Details
Name
Oaklawn Hospital
Subdivision Name
OAKLAWN MEDICAL GROUP COLDWATER - Family Practice
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230217AD
Medicare Provider Number
230217
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/9/2023
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Oaklawn Hospital
Andrew James Poole, CFO
(269) 789-3936
Primary Contact
Oaklawn Hospital
Nicole L. Patrick, Pharmacy Informatics Coordinator
(269) 789-7482
Addresses
Street Address
375 N WILLOWBROOK RD
COLDWATER, MI 49036-8847
Billing Address
Oaklawn Hospital
200 N Madison St
Marshall, MI 49068
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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