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WILLIAM BEAUMONT 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
WILLIAM BEAUMONT HOSPITAL
Pharmacy Address
DBA - COREWELL HEALTH WILLIAM BEAUMONT U
PHARMACY
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pharmacy Comments
Contract Details
Approval Date
4/13/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul LaCasse, President & Chief Executive Officer
(248) 471-8949
Contract Pharmacy Representative
Stephanie Rybak, Senior Assistant Director Pharmaceutical Services
(248) 898-4086
Signed By Date
4/13/2016
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