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CH05039G NORTHWEST MICHIGAN HEALTH SERVICES, INC (Approved)
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Main Details
Name
NORTHWEST MICHIGAN HEALTH SERVICES, INC
Subdivision Name
Manistee Middle/High School CAHC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031774
340B ID
CH05039G
Grant Number
H80CS00669
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/7/2025
Last Recertification Date
Contacts
Authorizing Official
Northwest Michigan Health Services
Heidi Britton, Chief Executive Officer
(231) 947-1112
Primary Contact
Northwest Michigan Health Services, Inc.
Kimberly A Corliss, Director of Administrative Operations
(231) 861-2130
Addresses
Street Address
525 12th St Ste 1
Manistee, MI 49660-2053
Billing Address
Northwest Michigan Health Services, Inc
10767 E TRAVERSE HWY
TRAVERSE CITY, MI 49684
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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