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CH05198JK ALCONA CITIZENS FOR HEALTH INC (Active)
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Main Details
Name
ALCONA CITIZENS FOR HEALTH INC
Subdivision Name
Alcona Health Center Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033444
340B ID
CH05198JK
Grant Number
H80CS00679
Additional Details
Current Program Status
Active
Registration Date
2/21/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/4/2024
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
ALCONA CITIZENS FOR HEALTH, INC
Nancy Spencer, CEO
(989) 358-3916
Primary Contact
Alcona Citizens for Health, Inc.
Katelyn Kane, Pharmacy Director
(989) 358-3922
Addresses
Street Address
1209 US Highway 23 N
Alpena, MI 49707
Billing Address
Alcona Citizens for Health, Inc.
P.O. Box 655
Alpena, MI 49707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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