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HM817 HEMOPHILIA CLINIC OF WEST MICHIGAN CANCER CENTER (Terminated)
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Main Details
Name
HEMOPHILIA CLINIC OF WEST MICHIGAN CANCER CENTER
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM817
Grant Number
H30MC24047
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/4/2004
Last Recertification Date
2/4/2020
Termination Date
Termination Reason
4/1/2021
Failure to recertify
Contacts
Authorizing Official
West Michigan Cancer Center
Bridget A VandenBussche, Executive Director
(269) 373-7486
Primary Contact
West Michigan Cancer Center
SHERRY HIRST, CFO
(269) 373-7453
Addresses
Street Address
200 N PARK STREET
KALAMAZOO, MI 49007
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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NEW SITE 01/01/2005
01/01/2005
April 2025
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