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OAKWOOD HEALTHCARE, INC.
DSH230142 Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital
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Covered Entity Details
Entity Name
Oakwood Healthcare, Inc. d/b/a Corewell Health Wayne Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230142
Entity Address
33155 ANNAPOLIS STREET
WAYNE, MI 48184
Medicare Provider Number
230142
Participating Start Date
7/1/2008
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
OAKWOOD HEALTHCARE, INC.
Pharmacy Address
DBA - BEAUMONT PHARMACY SOUTHGATE
15777 NORTHLINE RD STE 100A
SOUTHGATE, MI 48195-2300
Pharmacy Comments
Contract Details
Approval Date
1/3/2011
Contract Begin Date
1/3/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/11/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/15/2010
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