Yes
| CH053300 | Active | BPS-H80-011166 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | Hamilton Community Health Network, Inc. - New Main | 2900 N. Saginaw | | Flint | MI |
| CH05330A | Active | BPS-H80-001885 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | HCHN - DENTAL NORTH | G5399 N Saginaw St | | Flint | MI |
| CH05330C | Active | BPS-H80-002805 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | HCHN - NORTH POINTE CLINIC | 5710 Clio Rd | | Flint | MI |
| CH05330I | Active | BPS-H80-009293 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | HCHN - New Burton | G3375 S. Saginaw St. | | Burton | MI |
| CH05330J | Active | BPS-H80-010928 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | Clio Heath Center | 4154 W Vienna Rd | | Clio | MI |
| CH05330K | Terminated | BPS-H80-000327 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | HCHN - COMM MENTAL HEALTH | 420 W. 5TH AVE | | FLINT | MI |
| CH05330L | Active | BPS-H80-021711 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | Hamilton Homeless Clinic | 812 Root Street 2nd Floor | | Flint | MI |
| CH05330M | Active | BPS-H80-015438 | HAMILTON COMMUNITY HEALTH NETWORK, INC. | Lapeer Clinic | 1570 SUNCREST DR | | LAPEER | MI |
| CH05330N | Active | BPS-H80-032128 | Hamilton Community Health Network, Inc. | Hamilton - McFarlan Clinic | 800 E Court St Fl 1 | | Flint | MI |
| CH05330P | Active | BPS-H80-037705 | Hamilton Community Health Network, Inc. | Hamilton Whitmore Lake Clinic | 10 Jennings Rd | | Whitmore Lake | MI |
| CH053300 | APEX DRUG STORES, INC. | RITE AID #4588 |
3521 CORUNNA ROAD
| FLINT | MI | 48503 | 04/01/2024 | | 08/08/2024 |
| CH053300 | CLIO ROAD PHARMACY | CLIO ROAD PHARMACY |
4902 CLIO RD
| FLINT | MI | 48504-4850 | 01/01/2025 | | |
| CH053300 | CVS CAREMARK | DBA CVS/CAREMARK OR CF# 11506 |
1 GREAT VALLEY BOULEVARD
| WILKES BARRE | PA | 18706 | 01/01/2024 | | |
| CH053300 | CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | DBA CVS/CAREMARK 48067 |
1780 WALL ST
| MT PROSPECT | IL | 60056 | 01/01/2024 | | |
| CH053300 | GENOA HEALTHCARE LLC | 1040 W BRISTOL RD STE G |
| FLINT | MI | 48507 | 01/01/2022 | | |
| CH053300 | GENOA HEALTHCARE LLC | 1570 SUNCREST DR |
SUITE 300
| LAPEER | MI | 48446 | 01/01/2022 | | |
| CH053300 | KROGER CO OF MICHIGAN #115 | 3838 RICHFIELD ROAD |
| FLINT | MI | 48506 | 01/01/2025 | | |
| CH053300 | KROGER DBA: KESSEL #407 | 7188 N SAGINAW ROAD |
| MOUNT MORRIS | MI | 48458 | 05/26/2021 | | |
| CH053300 | MEIJER DISTRIBUTION INC #90 | 2721 WALKER AVE NW |
| GRAND RAPIDS | MI | 49544 | 05/26/2021 | | |
| CH053300 | MEIJER INC #213 | 9515 BIRCH RUN ROAD |
| BIRCH RUN | MI | 48415-9613 | 05/26/2021 | | |
| CH053300 | MEIJER INC #244 | 8089 LAPEER ROAD |
| DAVISON | MI | 48423-2529 | 01/01/2025 | | |
| CH053300 | MEIJER INC #29 | G-2333 SOUTH CENTER ROAD |
| BURTON | MI | 48519 | 05/26/2021 | | |
| CH053300 | MEIJER INC #44 | 2474 WEST HILL ROAD |
| FLINT | MI | 48507 | 01/01/2025 | | |
| CH053300 | MEIJER PHARMACY #259 | 4141 MORRISH RD. |
| SWARTZ CREEK | MI | 48473 | 01/01/2025 | | |
| CH053300 | MEIJER PHARMACY #464 | 41255 COCA COLA DR. |
| BELLEVILLE | MI | 48111-1827 | 05/26/2021 | | |
| CH053300 | MEIJER STORES LIMITED PARTNERSHIP | D/B/A MEIJER PHARMACY #463 |
1515 PROFIT DR.
| FORT WAYNE | IN | 46808 | 05/26/2021 | | |
| CH053300 | MEIJER, INC. #140 | 1555 DEMILLE RD |
| LAPEER | MI | 48446 | 01/01/2025 | | |
| CH053300 | OPTUM PHARMACY 700, LLC | 5700 DOT COM CT, STE 1000 |
| OVIEDO | FL | 32765 | 07/01/2025 | | |
| CH053300 | OPTUM PHARMACY 701, LLC | 1830 S HORNE |
| MESA | AZ | 85204 | 07/01/2025 | | |
| CH053300 | OPTUM PHARMACY 702, LLC | 1050 PATROL RD |
| JEFFERSONVILLE | IN | 47130 | 01/01/2025 | | |
| CH053300 | PERRY DRUG STORES, INC. | RITE AID #4333 |
100 EAST VIENNA ROAD
| CLIO | MI | 48420 | 05/26/2021 | | 08/15/2024 |
| CH053300 | PERRY DRUG STORES, INC. | RITE AID #4310 |
5018 CLIO ROAD
| FLINT | MI | 48504 | 01/01/2022 | | 08/05/2024 |
| CH053300 | PERRY DRUG STORES, INC. | RITE AID #4438 |
3717 FENTON ROAD
| FLINT | MI | 48507 | 01/01/2022 | | 09/06/2023 |
| CH053300 | PERRY DRUG STORES, INC. | RITE AID #4340 |
G4033 FENTON ROAD
| BURTON | MI | 48529 | 01/01/2022 | | 06/26/2024 |
| CH053300 | PERRY DRUG STORES, INC. | RITE AID #4442 |
4515 CORUNNA ROAD
| FLINT | MI | 48532 | 04/01/2024 | | 08/06/2024 |
| CH053300 | RITE AID OF MICHIGAN, INC. | RITE AID #3667 |
4001 DAVISON ROAD SUITE A
| BURTON | MI | 48509 | 01/01/2022 | | 09/17/2023 |
| CH053300 | RITE AID OF MICHIGAN, INC. | RITE AID #7736 |
11801 NORTH SAGINAW STREET
| MOUNT MORRIS | MI | 48458 | 04/01/2024 | | 08/08/2024 |
| CH053300 | RITE AID OF MICHIGAN, INC. | RITE AID #1587 |
4519 RICHFIELD ROAD
| FLINT | MI | 48506 | 04/01/2024 | | 06/26/2024 |
| CH053300 | RITE AID OF MICHIGAN, INC. | RITE AID #4806 |
6026 LAPEER ROAD
| BURTON | MI | 48509 | 04/01/2024 | | 06/27/2024 |
| CH053300 | THE KROGER CO OF MICHIGAN | KROGER PHARMACY #406 |
1200 E BRISTOL ROAD
| BURTON | MI | 48529 | 01/01/2025 | | |
| CH053300 | UNION PRESCRIPTION CENTER I INC | 11830 N SAGINAW ST |
| MOUNT MORRIS | MI | 48458-1504 | 07/01/2025 | | |
| CH053300 | WAL-MART CENTRAL FILL 10-2670 | 608 SPRING HILL DR # 3 SUITE 300 |
| SPRING | TX | 77386 | 05/26/2021 | | |
| CH053300 | WAL-MART PHARMACY 10-1928 | 4313 CORUNNA RD |
| FLINT | MI | 48532 | 05/26/2021 | | |
| CH053300 | WAL-MART PHARMACY 10-1987 | 555 EAST GENESEE |
| LAPEER | MI | 48446 | 04/01/2025 | | |
| CH053300 | WAL-MART PHARMACY 10-2273 | 5323 E COURT ST NORTH |
| BURTON | MI | 48509 | 05/26/2021 | | |
| CH053300 | WAL-MART PHARMACY 10-3726 | 6170 SOUTH SAGINAW ROAD |
| GRAND BLANC | MI | 48439 | 07/01/2025 | | |
| CH053300 | WAL-MART PHARMACY 10-4243 | 11493 NORTH LINDEN ROAD |
| CLIO | MI | 48420 | 05/26/2021 | | |
| CH053300 | WAL-MART PHARMACY 10-5997 | 9600 PARKSOUTH CT. SUITE 100 |
| ORLANDO | FL | 32837 | 05/26/2021 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS # 07501 |
G4010 FENTON ROAD
| FLINT | MI | 48507 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS # 07065 |
3270 W SILVER LAKE RD
| FENTON | MI | 48430-1374 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS # 06054 |
1570 E PIERSON
| FLUSHING | MI | 48433 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS # 07500 |
5020 CORUNNA ROAD
| FLINT | MI | 48532 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS # 06830 |
502 S BALLENGER HWY
| FLINT | MI | 48532-3640 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS #10953 |
901 S STATE RD
| DAVISON | MI | 48423-1721 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS # 04676 |
5703 S SAGINAW RD
| GRAND BLANC | MI | 48507 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS #12971 |
571 S MAIN ST
| LAPEER | MI | 48446 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS #21334 |
1419 N DORT HWY
| FLINT | MI | 48506 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS # 05371 |
2990 BAY ROAD
| SAGINAW | MI | 48603 | 01/01/2024 | | |
| CH053300 | WALGREEN CO. | DBA: WALGREENS #21274 |
3336 S DORT HWY
| FLINT | MI | 48507 | 01/01/2024 | | |
| CH053300 | Walgreens #21423 | Walgreens Central Fill #21423 |
6275 Winchester Blvd
| Canal WInchester | OH | 43110-6537 | 01/01/2024 | | |
| CH053300 | WALMART PHARMACY 10-5169 | 2252 NORTH 8TH STREET |
SUITE A
| ROGERS | AR | 72756 | 10/01/2023 | | |
| CH053300 | Walmart Pharmacy 10-7611 | 2501 Perry Rd |
| Plainfield | IN | 46168 | 01/01/2024 | | |
| CH053300 | WOODWARD DETROIT CVS, L.L.C. | DBA CVS/PHARMACY #11247 |
225 E STATE ST
PO BOX 96
| MONTROSE | MI | 48457 | 01/01/2024 | | |
| CH053300 | WOODWARD DETROIT CVS, L.L.C. | DBA CVS/PHARMACY # 10790 |
111 NORTH MAIN STREET
| FRANKENMUTH | MI | 48734 | 01/01/2024 | | |
| Details | Last Recertification Date | Update | Recertification | | 2/11/2025 3:27:56 PM | 2/11/2025 3:27 PM |
| Details | State | Update | | Approved | Active | 10/1/2024 12:01 AM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1750150827 | 9/26/2024 3:23 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | MI | 9/26/2024 3:23 PM |
| Contacts | Signed By | Insert | New Registration | | PIERCE, CLARENCE
CEO
Hamilton Community Health Network
8104064951 | 7/9/2024 10:52 AM |
| Details | 340B ID | Update | New Registration | | CH05330P | 7/9/2024 10:52 AM |
| Dates | Participating Approval Date | Update | New Registration | | 7/9/2024 10:52:39 AM | 7/9/2024 10:52 AM |
| Details | State | Update | New Registration | Pending | Approved | 7/9/2024 10:52 AM |
| Dates | Signed By Date | Update | New Registration | | 7/8/2024 2:15:30 PM | 7/9/2024 10:52 AM |
| Dates | Start Date | Update | New Registration | | 10/1/2024 12:00:00 AM | 7/9/2024 10:52 AM |
| Addresses | Main Address | Insert | New Registration | |
10 Jennings Rd
Whitmore Lake, MI 48189-9410 | 7/8/2024 11:23 AM |
| Contacts | Authorizing Official | Insert | New Registration | | PIERCE, CLARENCE
CEO
Hamilton Community Health Network
8104064951 | 7/8/2024 11:23 AM |
| Contacts | Primary Contact | Insert | New Registration | | Smith, Kirk
Chief Administrative Officer
Hamilton Community Health Network
8104064912-4967 | 7/8/2024 11:23 AM |
| Details | Assistance Received From Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | Assistance Received To Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | Last Recertification Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | Grant Number | Insert | New Registration | | H80CS00435 | 7/8/2024 11:23 AM |
| Details | 340B ID | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | Medicare Provider Number | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | Entity Name | Insert | New Registration | | Hamilton Community Health Network, Inc. | 7/8/2024 11:23 AM |
| Details | NOFO Number | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | Program Code | Insert | New Registration | | CH | 7/8/2024 11:23 AM |
| Details | Entity Subname | Insert | New Registration | | Hamilton Whitmore Lake Clinic | 7/8/2024 11:23 AM |
| Dates | Participating Approval Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Details | State | Insert | New Registration | | Pending | 7/8/2024 11:23 AM |
| Dates | Registration Date | Insert | New Registration | | 7/8/2024 11:23:02 AM | 7/8/2024 11:23 AM |
| Dates | Signed By Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Dates | Start Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Terminations | Termination Comments | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Terminations | Termination Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 7/8/2024 11:23 AM |
| Terminations | Termination Reason | Insert | New Registration | | | 7/8/2024 11:23 AM |