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BOTSFORD GENERAL HOSPITAL
DSH230151 Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital
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Covered Entity Details
Entity Name
Botsford General Hospital d/b/a Corewell Health Farmington Hills Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230151
Entity Address
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Medicare Provider Number
230151
Participating Start Date
4/1/2015
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
BOTSFORD GENERAL HOSPITAL
Pharmacy Address
DBA - COREWELL HEALTH RETAIL PHARMACY -
39000 WEST 7 MILE RD.
SUITE 1950
LIVONIA, MI 48152
Pharmacy Comments
Contract Details
Approval Date
5/25/2022
Contract Begin Date
5/25/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lee Ann Odom, President, Shared Services
(947) 522-2653
Contract Pharmacy Representative
Beaumont Health
Heidi Pillen, Senior Director, System Pharmacy Services
(947) 522-1168
Signed By Date
5/25/2022
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