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WILLIAM BEAUMONT HOSPITAL
SCH230093-00 Corewell Health Big Rapids Hospital
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Covered Entity Details
Entity Name
Corewell Health Big Rapids Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230093-00
Entity Address
605 Oak Street
Big Rapids, MI 49307-2048
Medicare Provider Number
230093
Participating Start Date
1/1/2014
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WILLIAM BEAUMONT HOSPITAL
Pharmacy Address
DBA COREWELL HEALTH SPECIALTY PHARMACY
41965 ECORSE RD
STE 100
VAN BUREN TWP, MI 48111
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Sella, Senior Director, Finance
(616) 643-9168
Contract Pharmacy Representative
Corewell Health East
Scott Sterrett, Manager of Pharmacy
(586) 753-4175
Signed By Date
10/14/2022
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