340B Drug Pricing Program Database

Name

M.G.H. FAMILY HEALTH CENTER

Subdivision Name

MUSKEGON FAMILY CARE DENTAL SVS

Type

HRSA-Funded Health Center

Site ID

BPS-H80-005164

340B ID

CH051682A2

Grant Number

H80CS00865

Current Program Status

Terminated

Registration Date

9/30/2005

Participating Start Date

9/30/2005

Participating Approval Date

9/30/2005

Last Recertification Date

2/2/2017

Termination Date
Termination Reason

4/1/2018
Site closure

Authorizing Official

MGH Family Health Center
Sheila Bridges, CHIEF EXECUTIVE OFFICER
(231) 737-1751

Primary Contact

M.G.H Family Health Center
Paul L. Schultz, Pharm D
(231) 737-1706

Street Address

1700 OAK AVE STE 010
MUSKEGON, MI 49442

Billing Address
Same as Street Address