340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
EDWARD W. SPARROW HOSPITAL ASSOCIATION
DSH230208 SPARROW CARSON HOSPITAL
Print
Covered Entity Details
Entity Name
SPARROW CARSON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230208
Entity Address
406 EAST ELM STREET
CARSON CITY, MI 48811
Medicare Provider Number
230208
Participating Start Date
4/1/2008
Last Recertification Date
8/22/2018
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Pharmacy Address
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CA
245 S 2ND ST
CARSON CITY, MI 48811
Pharmacy Comments
Contract Details
Approval Date
9/18/2019
Contract Begin Date
9/13/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Brisboe, Chief Financial Officer
(616) 523-1702
Contract Pharmacy Representative
Sparrow
Todd M Belding, Director of Pharmacy Sparrow Health System
(517) 253-2376
Signed By Date
9/18/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session