Details | Last Recertification Date | Update | Recertification | 2/2/2024 10:28:34 AM | 2/13/2025 11:10:59 AM | 2/13/2025 11:10 AM |
Contacts | Primary Contact | Update | Change Request | Runyon, Linda Caren
Medical Director
Sterling Area Health Center
9896542491-3770 | Walsh-McPherson, Danielle
Interim Medical Director
Sterling Area Health Center
9896542491 | 9/18/2024 12:07 PM |
Contacts | Authorizing Official | Update | Profile Change Request | Flues-Harrington, Heather
Financial Director
Sterling Area Health Center
9896542072-3753 | Flues-Harrington, Heather
CFO
Sterling Area Health Center
9895243753 | 2/2/2024 10:47 AM |
Details | Last Recertification Date | Update | Recertification | 2/15/2023 7:53:44 AM | 2/2/2024 10:28:34 AM | 2/2/2024 10:28 AM |
Contacts | Primary Contact | Update | New Registration | Runyon, Linda Caren
Medical Director
Sterling Area Health Center
9896542491-3770 | Runyon, Linda Caren
Medical Director
Sterling Area Health Center
9896542491-3770 | 8/17/2023 12:51 PM |
Details | Last Recertification Date | Update | Recertification | 2/4/2022 10:21:49 AM | 2/15/2023 7:53:44 AM | 2/15/2023 7:53 AM |
Details | Last Recertification Date | Update | Recertification | 2/16/2021 12:18:30 PM | 2/4/2022 10:21:49 AM | 2/4/2022 10:21 AM |
Addresses | Main Address | Update | Change Request |
335 E Houghton Ave.
West Branch, MI 48661 |
621 Court St.
Suite 102
West Branch, MI 48661 | 6/24/2021 12:51 PM |
Medicaid Billing | NPI: State | Update | Recertification | | MI | 2/16/2021 12:18 PM |
Details | Last Recertification Date | Update | Recertification | 2/5/2020 7:58:07 AM | 2/16/2021 12:18:30 PM | 2/16/2021 12:18 PM |
Details | Last Recertification Date | Update | Recertification | 2/19/2019 7:12:13 AM | 2/5/2020 7:58:07 AM | 2/5/2020 7:58 AM |
Details | Last Recertification Date | Update | Recertification | 2/12/2018 2:13:28 PM | 2/19/2019 7:12:13 AM | 2/19/2019 7:12 AM |
Contacts | Authorizing Official | Update | Change Request | Balten Jr, James John
President & CEO
Sterling Area Health Center
9896542072-3750 | Flues-Harrington, Heather
Financial Director
Sterling Area Health Center
9896542072-3753 | 4/5/2018 1:15 PM |
Details | Is Authorizing Official EHB Data | Update | Change Request | False | | 4/5/2018 1:15 PM |
Details | Last Recertification Date | Update | Recertification | 2/6/2017 12:00:00 AM | 2/12/2018 2:13:28 PM | 2/12/2018 2:13 PM |
Contacts | Authorizing Official | Update | Profile Change Request | J, James J
President & CEO
Sterling Area Health Center
9896542072-3750 | Balten Jr, James John
President & CEO
Sterling Area Health Center
9896542072-3750 | 1/5/2018 12:15 PM |
Contacts | Signed By | Update | Profile Change Request | J, James J
President & CEO
Sterling Area Health Center
9896542072-3750 | Balten Jr, James John
President & CEO
Sterling Area Health Center
9896542072-3750 | 1/5/2018 12:15 PM |
Contacts | Primary Contact | Update | | Runyon, Linda Caren
Medical Director
9896542491-3770 | Runyon, Linda Caren
Medical Director
Sterling Area Health Center
9896542491-3770 | 12/28/2017 11:40 AM |
Contacts | Authorizing Official | Update | | J, James
President & CEO
9896542072-3750 | J, James J
President & CEO
Sterling Area Health Center
9896542072-3750 | 10/2/2017 12:37 PM |
Contacts | Signed By | Update | | J, James
President & CEO
9896542072-3750 | J, James J
President & CEO
Sterling Area Health Center
9896542072-3750 | 10/2/2017 12:37 PM |
Contacts | Authorizing Official | Insert | | | J, James
President & CEO
9896542072-3750 | 7/17/2017 1:27 PM |
Contacts | Signed By | Insert | | | J, James
President & CEO
9896542072-3750 | 7/17/2017 1:27 PM |
Contacts | Primary Contact | Insert | | | Runyon, Linda Caren
Medical Director
9896542491-3770 | 3/9/2017 5:06 PM |
Addresses | Main Address | Insert | | |
335 E Houghton Ave.
West Branch, MI 48661 | 3/9/2017 5:03 PM |
Addresses | Billing Address | Insert | | | Sterling Area Health Center
725 E. State St.
Sterling, MI 48659-9548 | 3/9/2017 5:03 PM |
Addresses | Shipping Address | Insert | | | Sterling Area Health Center
725 E. State St.
Sterling, MI 48659-9548 | 3/9/2017 5:03 PM |
Medicaid Billing | NPI: Number | Insert | | | 1609244490 | 3/9/2017 5:03 PM |
Details | Last Recertification Date | Update | | | 2/6/2017 12:00:00 AM | 2/6/2017 2:23 PM |
Dates | Participating Approval Date | Update | | | 4/11/2016 12:00:00 AM | 4/11/2016 4:13 PM |
Details | State | Update | | Pending | Active | 4/11/2016 4:13 PM |
Dates | Start Date | Update | | | 7/1/2016 12:00:00 AM | 4/11/2016 4:13 PM |
Details | 340B ID | Update | | ONLINE_REG_58839 | CH05225D | 4/5/2016 12:56 PM |
Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_58839 | 4/4/2016 11:53 AM |
Details | Last Recertification Date | Insert | | | | 4/4/2016 11:53 AM |
Details | Grant Number | Insert | | | H80CS00756 | 4/4/2016 11:53 AM |
Details | 340B ID | Insert | | | ONLINE_REG | 4/4/2016 11:53 AM |
Details | Is Authorizing Official EHB Data | Insert | | | False | 4/4/2016 11:53 AM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 4/4/2016 11:53 AM |
Details | Medicare Provider Number | Insert | | | | 4/4/2016 11:53 AM |
Details | Entity Name | Insert | | | STERLING AREA HEALTH CENTER | 4/4/2016 11:53 AM |
Details | Program Code | Insert | | | CH | 4/4/2016 11:53 AM |
Details | Entity Subname | Insert | | | Sterling Area Health Center - West Branch Clinic | 4/4/2016 11:53 AM |
Dates | Participating Approval Date | Insert | | | | 4/4/2016 11:53 AM |
Details | State | Insert | | | Pending | 4/4/2016 11:53 AM |
Dates | Registration Date | Insert | | | 4/4/2016 12:00:00 AM | 4/4/2016 11:53 AM |
Dates | Signed By Date | Insert | | | 4/4/2016 12:00:00 AM | 4/4/2016 11:53 AM |
Dates | Start Date | Insert | | | | 4/4/2016 11:53 AM |
Terminations | Termination Comments | Insert | | | | 4/4/2016 11:53 AM |
Terminations | Termination Date | Insert | | | | 4/4/2016 11:53 AM |
Terminations | Termination Effective Date | Insert | | | | 4/4/2016 11:53 AM |
Terminations | Termination Reason | Insert | | | | 4/4/2016 11:53 AM |