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OAKWOOD INFUSION SERVICES, LLC
DSH230020 Oakwood Healthcare, Inc. d/b/a Corewell Health Dearborn Hospital
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Covered Entity Details
Entity Name
Oakwood Healthcare, Inc. d/b/a Corewell Health Dearborn Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230020
Entity Address
18101 OAKWOOD BOULEVARD
DEARBORN, MI 48124
Medicare Provider Number
230020
Participating Start Date
7/1/2006
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
OAKWOOD INFUSION SERVICES, LLC
Pharmacy Address
1633 FAIRLANE CIRCLE
SUITE #165
ALLEN PARK, MI 48101
Pharmacy Comments
Contract Details
Approval Date
2/24/2011
Contract Begin Date
3/10/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/23/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/24/2011
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