Covered Entity Details

STD48912 Planned Parenthood of Michigan (Active) - information as of 6/8/2025 1:07:54 AM

Main Details

Name

Planned Parenthood of Michigan

Subdivision Name

Lansing Health Center

Type

Sexually Transmitted Diseases

340B ID

STD48912

Grant Number

NH25PS005170

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
318 supported chlamydia and gonorrhea lab service
1/1/2024

Additional Details

Current Program Status

Active

Registration Date

1/15/2018

Participating Start Date

4/1/2018

Participating Approval Date

2/14/2018

Last Recertification Date

5/5/2025

Notice of Funding Opportunity (NOFO) Number

CDC-RFA-PS 19-1901

Contacts

Authorizing Official

Planned Parenthood of Michigan
Sarah Wallett, Chief Medical Operating Officer
(734) 926-4817

Primary Contact

Planned Parenthood of Michigan
James J Osborne, Executive Assistant to Chief Medical Officer
(734) 222-2224

Addresses

Street Address

300 N Clippert St
Suite 6
Lansing, MI 48912

Billing Address

Planned Parenthood Of Michigan Lansing Health Center
PO BOX 3673
Ann Arbor, MI 48106

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MI		1366525370,1275840134

Shipping Addresses

Shipping Address 1

Planned Parenthood of Michigan Lansing Health Center
950 Victors Way
Ann Arbor, MI 48106

Shipping Address 2

Planned Parenthood of Michigan Lansing Health Center
300 N Clippert St
Suite 6
Lansing, MI 48912

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/06/2021	07/01/2021	03/31/2023	03/31/2023
Contract Detail	CAREPOINT HEALTHCARE	DBA CAREPOINT PHARMACY	9 COMMERCE DR.	SCHAUMBURG	IL	60173	07/06/2022	10/01/2022		10/01/2022
Contract Detail	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	07/11/2021	10/01/2021	03/31/2023	03/31/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	5/28/2024 6:04:49 AM	5/5/2025 8:19:36 AM	5/5/2025 8:19 AM
Details	Nature of Support: Support Received To Date	Update	Change Request	12/31/2024 12:00:00 AM		3/17/2025 12:17 PM
Details	Nature of Support: Support Received From Date	Update	Recertification	1/1/2023 12:00:00 AM	1/1/2024 12:00:00 AM	5/28/2024 6:04 AM
Details	Nature of Support: Support Received To Date	Update	Recertification	12/31/2023 12:00:00 AM	12/31/2024 12:00:00 AM	5/28/2024 6:04 AM
Details	Last Recertification Date	Update	Recertification	5/11/2023 8:44:07 AM	5/28/2024 6:04:49 AM	5/28/2024 6:04 AM
Details	Grant Number	Update	Recertification	NH25PS005170-03-00	NH25PS005170	5/28/2024 6:04 AM
Details	Nature of Support: Support Received From Date	Update	Recertification	1/1/2021 12:00:00 AM	1/1/2023 12:00:00 AM	5/11/2023 8:44 AM
Details	Nature of Support: Support Received To Date	Update	Recertification	12/31/2021 12:00:00 AM	12/31/2023 12:00:00 AM	5/11/2023 8:44 AM
Details	Last Recertification Date	Update	Recertification	5/19/2022 5:57:27 PM	5/11/2023 8:44:07 AM	5/11/2023 8:44 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1275840134	3/16/2023 12:34 PM
Medicaid Billing	NPI: State	Insert	Change Request		MI	3/16/2023 12:34 PM
Contacts	Authorizing Official	Update	Group Change Request	Thal, Denise EVP & CFO Planned Parenthood of Michigan 7349264828	Wallett, Sarah Chief Medical Operating Officer Planned Parenthood of Michigan 7349264817	2/14/2023 11:54 AM
Contacts	Primary Contact	Update	Recertification	Warner, Natalie Purchasing and Inventory Coordinator Planned Parenthood of Michigan 7349264820	Osborne, James J Executive Assistant to Chief Medical Officer Planned Parenthood of Michigan 7342222224	5/19/2022 5:57 PM
Details	Last Recertification Date	Update	Recertification	5/19/2021 1:00:36 PM	5/19/2022 5:57:27 PM	5/19/2022 5:57 PM
Details	Nature of Support: In Kind Support Description	Update	Recertification		318 supported chlamydia and gonorrhea lab service	5/19/2021 1:00 PM
Details	Nature of Support: Support Received From Date	Update	Recertification		1/1/2021 12:00:00 AM	5/19/2021 1:00 PM
Details	Nature of Support: Support Received To Date	Update	Recertification		12/31/2021 12:00:00 AM	5/19/2021 1:00 PM
Medicaid Billing	NPI: State	Update	Recertification		MI	5/19/2021 1:00 PM
Details	Last Recertification Date	Update	Recertification	5/21/2020 6:36:28 AM	5/19/2021 1:00:36 PM	5/19/2021 1:00 PM
Details	Grant Number	Update	Recertification	NH25PS005170-01-00	NH25PS005170-03-00	5/19/2021 1:00 PM
Details	NOFO Number	Update	Recertification		CDC-RFA-PS 19-1901	5/19/2021 1:00 PM
Contacts	Primary Contact	Update	Recertification	Collins, Taleia Medical Administrative Coordinator Planned Parenthood of Michigan 7349264816	Warner, Natalie Purchasing and Inventory Coordinator Planned Parenthood of Michigan 7349264820	5/21/2020 6:36 AM
Details	Last Recertification Date	Update	Recertification	6/3/2019 8:33:34 AM	5/21/2020 6:36:28 AM	5/21/2020 6:36 AM
Addresses	Main Address	Update	Change Request	300 N Clippert St Lansing, MI 48912	300 N Clippert St Suite 6 Lansing, MI 48912	7/22/2019 8:56 AM
Addresses	Shipping Address	Delete	Change Request	Planned Parenthood of Michigan Lansing Health Center 300 N Clippert St Lansing, MI 48912		7/22/2019 8:56 AM
Addresses	Shipping Address	Insert	Change Request		Planned Parenthood of Michigan Lansing Health Center 300 N Clippert St Suite 6 Lansing, MI 48912	7/22/2019 8:56 AM
Details	Last Recertification Date	Update	Recertification	5/8/2018 2:05:52 PM	6/3/2019 8:33:34 AM	6/3/2019 8:33 AM
Details	Grant Number	Update	Recertification	NH25PS004333-05–00	NH25PS005170-01-00	6/3/2019 8:33 AM
Contacts	Authorizing Official	Update	AO Change Request	Warren, Tammara Chief Operating Officer Planned Parenthood of Michigan 7349264819	Thal, Denise EVP & CFO Planned Parenthood of Michigan 7349264828	5/2/2019 12:07 PM
Addresses	Billing Address	Insert	Recertification		Planned Parenthood Of Michigan Lansing Health Center PO BOX 3673 Ann Arbor, MI 48106	5/8/2018 2:05 PM
Addresses	Shipping Address	Insert	Recertification		Planned Parenthood of Michigan Lansing Health Center 950 Victors Way Ann Arbor, MI 48106	5/8/2018 2:05 PM
Addresses	Shipping Address	Insert	Recertification		Planned Parenthood of Michigan Lansing Health Center 300 N Clippert St Lansing, MI 48912	5/8/2018 2:05 PM
Details	Last Recertification Date	Update	Recertification		5/8/2018 2:05:52 PM	5/8/2018 2:05 PM
Details	State	Update		Approved	Active	4/1/2018 12:00 AM
Addresses	Main Address	Insert	New Registration		300 N Clippert St Lansing, MI 48912	2/14/2018 12:46 PM
Contacts	Signed By	Insert	New Registration		Warren, Tammara Chief Operating Officer Planned Parenthood of Michigan 7349264819	2/14/2018 12:46 PM
Details	Grant Number	Update	New Registration	MI Dept of Health	NH25PS004333-05–00	2/14/2018 12:46 PM
Details	340B ID	Update	New Registration		STD48912	2/14/2018 12:46 PM
Dates	Participating Approval Date	Update	New Registration		2/14/2018 12:46:07 PM	2/14/2018 12:46 PM
Details	State	Update	New Registration	Pending	Approved	2/14/2018 12:46 PM
Dates	Signed By Date	Update	New Registration		1/31/2018 2:03:38 PM	2/14/2018 12:46 PM
Dates	Start Date	Update	New Registration		4/1/2018 12:00:00 AM	2/14/2018 12:46 PM
Addresses	Main Address	Insert	New Registration		300 N Clippert St Lansing, MI 48912	1/15/2018 1:16 PM
Details	Nature Of Support	Insert	New Registration		In-Kind products or services (see note below; must have been purchased with section 318 funds)	1/15/2018 1:16 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1366525370	1/15/2018 1:16 PM
Contacts	Authorizing Official	Insert	New Registration		Warren, Tammara Chief Operating Officer Planned Parenthood of Michigan 7349264819	1/15/2018 1:16 PM
Contacts	Primary Contact	Insert	New Registration		Collins, Taleia Medical Administrative Coordinator Planned Parenthood of Michigan 7349264816	1/15/2018 1:16 PM
Details	Last Recertification Date	Insert	New Registration			1/15/2018 1:16 PM
Details	Grant Number	Insert	New Registration		MI Dept of Health	1/15/2018 1:16 PM
Details	340B ID	Insert	New Registration			1/15/2018 1:16 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/15/2018 1:16 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/15/2018 1:16 PM
Details	Medicare Provider Number	Insert	New Registration			1/15/2018 1:16 PM
Details	Entity Name	Insert	New Registration		Planned Parenthood of Michigan	1/15/2018 1:16 PM
Details	Program Code	Insert	New Registration		STD	1/15/2018 1:16 PM
Details	Entity Subname	Insert	New Registration		Lansing Health Center	1/15/2018 1:16 PM
Dates	Participating Approval Date	Insert	New Registration			1/15/2018 1:16 PM
Details	State	Insert	New Registration		Pending	1/15/2018 1:16 PM
Dates	Registration Date	Insert	New Registration		1/15/2018 1:16:53 PM	1/15/2018 1:16 PM
Dates	Signed By Date	Insert	New Registration			1/15/2018 1:16 PM
Dates	Start Date	Insert	New Registration			1/15/2018 1:16 PM
Terminations	Termination Comments	Insert	New Registration			1/15/2018 1:16 PM
Terminations	Termination Date	Insert	New Registration			1/15/2018 1:16 PM
Terminations	Termination Effective Date	Insert	New Registration			1/15/2018 1:16 PM
Terminations	Termination Reason	Insert	New Registration			1/15/2018 1:16 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History