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HENRY FORD HEALTH SYSTEM
DSH230053 HENRY FORD HOSPITAL
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Covered Entity Details
Entity Name
HENRY FORD HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230053
Entity Address
2799 WEST GRAND BLVD
DETROIT, MI 48202
Medicare Provider Number
230053
Participating Start Date
10/1/2002
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
HENRY FORD HEALTH SYSTEM
Pharmacy Address
HENRY FORD MEDICAL CENTER BLOOMFIELD TWP
1961 S TELEGRAPH RD
BLOOMFIELD TWP, MI 48302
Pharmacy Comments
Contract Details
Approval Date
1/16/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Doug Clark, SVP - Corporate Finance
(313) 874-5446
Contract Pharmacy Representative
Henry Ford Health System
Daniel Kus, V.P. Pharmacy Services
(248) 723-0252
Signed By Date
1/16/2020
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