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MYMICHIGAN MEDICAL CENTER MIDLAND
DSH230036 MyMichigan Medical Center Alpena
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Covered Entity Details
Entity Name
MyMichigan Medical Center Alpena
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230036
Entity Address
1501 W. CHISHOLM
ALPENA, MI 49707
Medicare Provider Number
230036
Participating Start Date
7/1/2019
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MYMICHIGAN MEDICAL CENTER MIDLAND
Pharmacy Address
DBA MYMICHIGAN MEDICAL CENTER MT. PLEASA
4851 E PICKARD ST
MOUNT PLEASANT, MI 48858
Pharmacy Comments
Contract Details
Approval Date
7/2/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Chuck Sherwin, President
(989) 794-7625
Contract Pharmacy Representative
MidMichigan Medical Center Mount Pleasant
Brooke Peterson, Employee & Specialty Pharmacy Supervisor
(989) 775-1629
Signed By Date
7/2/2019
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