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CH05291AL 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 Michigan - Roberto Clemente
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037875
340B ID
CH05291AL
Grant Number
H80CS00390
Additional Details
Current Program Status
Active
Registration Date
10/2/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/15/2024
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Family Medical Center of Michigan, Inc.
ED LARKINS, CEO
(734) 847-3802 Ext: 1412
Primary Contact
Family Medical Center of Michigan, Inc.
Zach Terrill, Director of Pharmacy
(517) 263-1800 Ext: 1215
Addresses
Street Address
1551 Beard St
Detroit, MI 48209-2073
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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