340B Drug Pricing Program Database
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CH05036AY GREAT LAKES BAY HEALTH CENTERS (Active)
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Main Details
Name
GREAT LAKES BAY HEALTH CENTERS
Subdivision Name
Great Lakes Bay Health Centers Mobile Dental 4
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037529
340B ID
CH05036AY
Grant Number
H80CS00689
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/4/2024
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Great Lakes Bay Health Centers
Amy Colleen Evans, CFO
(989) 759-6438
Primary Contact
Great Lakes Bay Health Centers
Kelli N Pardee, 340B Program Assistant Director
(989) 921-5840
Addresses
Street Address
501 Lapeer
Saginaw, MI 48607-1208
Billing Address
Great Lakes Bay Health Centers
501 Lapeer Ave
Saginaw, MI 48607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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