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CH050290 MIDMICHIGAN HEALTH SERVICES, INC (Active)
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Main Details
Name
MIDMICHIGAN HEALTH SERVICES, INC
Subdivision Name
MIDMICHIGAN HEALTH PARK - HOUGHTON LAKE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001776
340B ID
CH050290
Grant Number
H80CS00190
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
11/5/2003
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
MidMichigan Community Health Services
Melissa Jean Dunkle, CEO
(989) 422-2105 Ext: 2105
Primary Contact
MidMichigan Community Health Services
Bill Collin, Chief Financial Officer
(989) 202-4604
Addresses
Street Address
9249 W Lake City RD
Houghton Lake, MI 48629-9602
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE - 01/01/2004
11/05/2003
April 2025
April 2025
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