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HM11993 UNIVERSITY OF MICHIGAN (Terminated)
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Main Details
Name
UNIVERSITY OF MICHIGAN
Subdivision Name
HEMOPHILIA TREATMENT CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM11993
Grant Number
H30MC24047
Additional Details
Current Program Status
Terminated
Registration Date
4/1/1995
Participating Start Date
4/1/1995
Participating Approval Date
10/22/2010
Last Recertification Date
2/25/2021
Termination Date
Termination Reason
7/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
University Of Michigan Hospitals and Health Centers
Jeffrey S. Desmond, Chief Medical Officer
(734) 936-5814
Primary Contact
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER
Rachel G Cortis, Associate Chief Operating Officer
(734) 232-1590
Addresses
Street Address
1500 EAST MEDICAL CENTER DRIVE
ROOM F2480 MOTT HOSP
ANN ARBOR, MI 48109-5235
Billing Address
University of Michigan Hospitals and Health Centers
1500 EAST MEDICAL CENTER DRIVE
UH B2 D301 SPC 5008
ANN ARBOR, MI 48109
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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10/21/10 ADDR UPDATE (WAS L2110 WOMEN'S HOSPITAL BX 0238, 1500 MEDICAL CTR DR)
04/01/1995
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