Pharmacy Details

GENOA HEALTHCARE LLC - information as of 5/19/2025 1:00:57 AM

Name
GENOA HEALTHCARE LLC

Address

279 SUMMIT DRIVE
SUITE 200
WATERFORD, MI 48328

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CHC28354-00	OAKLAND INTEGRATED HEALTHCARE NETWORK	Family Medicine Center	HRSA-Funded Health Center	461 West Huron, Suite 107		Pontiac	MI	10/01/2016	09/02/2016	9/12/2016 3:04 PM
Details	CHC28354-00	OAKLAND INTEGRATED HEALTHCARE NETWORK	Family Medicine Center	HRSA-Funded Health Center	461 West Huron, Suite 107		Pontiac	MI	01/01/2018	04/19/2022	4/19/2022 11:50 AM
Details	DSH230165	Ascension St. John Hospital DBA Henry Ford St. John Hospital		Disproportionate Share Hospital	22101 MOROSS ROAD		DETROIT	MI	01/01/2025		1/1/2025 12:01 AM
Details	DSH230195	ST. JOHN MACOMB-OAKLAND HOSPITAL DBA Henry Ford Health Warren Hospital		Disproportionate Share Hospital	11800 TWELVE MILE RD.		WARREN	MI	01/01/2025		1/1/2025 12:01 AM
Details	FQHCLA313A	OAKLAND INTEGRATED HEALTHCARE NETWORK	OIHN Summit Center	Health Center Program Look-Alike	279 Summit Dr		Waterford	MI	10/01/2016	09/02/2016	9/12/2016 3:05 PM
Details	HV00105A	Wayne State University	Internal Medicine	Ryan White Part C	656 West Kirby Street		Detroit	MI	07/01/2025		4/8/2025 4:39 PM
Details	RRC230019-00	ASCENSION PROVIDENCE HOSPITAL DBA HENRY FORD HEALTH PROVIDENCE SOUTHFIELD HOSPITAL		Rural Referral Center	16001 WEST NINE MILE ROAD		SOUTHFIELD	MI	01/01/2025		1/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		GENOA HEALTHCARE, LLC 279 SUMMIT DRIVE SUITE 200 WATERFORD, MI 48328	GENOA HEALTHCARE LLC 279 SUMMIT DRIVE SUITE 200 WATERFORD, MI 48328	9/20/2022 11:31 AM
Details	Name	Update		GENOA HEALTHCARE, LLC	GENOA HEALTHCARE LLC	9/20/2022 11:31 AM
Addresses	Pharmacy Address	Insert			GENOA HEALTHCARE, LLC 279 SUMMIT DRIVE SUITE 200 WATERFORD, MI 48328	2/13/2018 1:37 PM
Details	Name	Update		GENOA-QOL HEALTHCARE	GENOA HEALTHCARE, LLC	2/13/2018 1:37 PM
Addresses	Pharmacy Address	Insert			GENOA-QOL HEALTHCARE 279 SUMMIT DRIVE SUITE 200 WATERFORD, MI 48328	9/29/2017 6:44 AM
Details	Name	Update		ADVANCED CARE PHARMACY WATERFORD	GENOA-QOL HEALTHCARE	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		ADVANCED CARE PHARMACY WATERFORD 279 SUMMIT DRIVE WATERFORD, MI 48328	ADVANCED CARE PHARMACY WATERFORD 279 SUMMIT DRIVE SUITE 200 WATERFORD, MI 48328	4/18/2013 6:23 PM
Addresses	Pharmacy Address	Update		ADVANCED CARE PHARMACY WATERFORD 253 SUMMIT DRIVE WATERFORD, MI 48328	ADVANCED CARE PHARMACY WATERFORD 279 SUMMIT DRIVE WATERFORD, MI 48328	4/2/2013 11:43 AM
Details	Comments	Insert				3/28/2013 4:17 PM
Details	Is Deleted	Insert			False	3/28/2013 4:17 PM