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CH05291AK FAMILY MEDICAL CENTER OF MICHIGAN, INC. (Active)
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Main Details
Name
FAMILY MEDICAL CENTER OF MICHIGAN, INC.
Subdivision Name
Family Medical Center of MI - Madison Schools
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030074
340B ID
CH05291AK
Grant Number
H80CS00390
Additional Details
Current Program Status
Active
Registration Date
1/12/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/4/2024
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Family Medical Center of Michigan, Inc.
Zach Terrill, Director of Pharmacy
(517) 263-1800 Ext: 1215
Primary Contact
Family Medical Center of Michigan, Inc.
ED LARKINS, CEO
(734) 847-3802 Ext: 1412
Addresses
Street Address
3498 Treat Hwy Rm 35
Adrian, MI 49221-9763
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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