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DSH230017BR BRONSON METHODIST HOSPITAL (Active)
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Main Details
Name
BRONSON METHODIST HOSPITAL
Subdivision Name
Bronson Obstetrics and Gynecology Specialists - Kalamazoo - Obstetrics and Gynecology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230017BR
Medicare Provider Number
230017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/18/2024
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Bronson Healthcare Group
James B. Falahee Jr., Sr. Vice President, Legal & Legislative Affairs
(269) 341-8907
Primary Contact
Bronson Healthcare Group
Troy Shirley, System Director of Pharmacy
(269) 341-8157
Addresses
Street Address
2854 S 11th Street
Kalamazoo, MI 49009
Billing Address
Bronson Accounts Payable
P.O. Box 4001
Kalamazoo, MI 49003
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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