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BRONSON BATTLE CREEK OUTPATIENT PHARMACY
DSH230017 BRONSON METHODIST HOSPITAL
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Covered Entity Details
Entity Name
BRONSON METHODIST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230017
Entity Address
601 JOHN STREET
KALAMAZOO, MI 49007
Medicare Provider Number
230017
Participating Start Date
7/1/2004
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
BRONSON BATTLE CREEK OUTPATIENT PHARMACY
Pharmacy Address
BRONSON BATTLE CREEK OUTPATIENT PHARMACY
363 FREMONT ST
STE 111
BATTLE CREEK, MI 49017
Pharmacy Comments
Contract Details
Approval Date
2/28/2019
Contract Begin Date
2/28/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James B. Falahee Jr., Sr. Vice President, Legal & Legislative Affairs
(269) 341-8907
Contract Pharmacy Representative
Bronson Healthcare Group
HOLLY WAGNER, PHARMACY MANAGER
(269) 341-6244
Signed By Date
2/28/2019
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