Covered Entity Details

CH05036W Great Lakes Bay Health Centers (Terminated)

Main Details

Name

Great Lakes Bay Health Centers

Subdivision Name

Great Lakes Bay Health Centers Wolverine Saginaw

Type

HRSA-Funded Health Center

Site ID

BPS-H80-002759

340B ID

CH05036W

Grant Number

H80CS00689

Additional Details

Current Program Status

Terminated

Registration Date

6/15/2006

Participating Start Date

7/1/2006

Participating Approval Date

6/16/2006

Last Recertification Date

2/23/2022

Termination Date
Termination Reason

4/1/2023
Site closure

Contacts

Authorizing Official

Great Lakes Bay Health Centers
Amy Colleen Evans, CFO
(989) 759-6438

Primary Contact

Great Lakes Bay Health Centers
Kelli N Pardee, 340B Program Assistant Director
(989) 921-5840

Addresses

Street Address

2424 N. Outer Dr
Saginaw, MI 48601

Billing Address

Great Lakes Bay Health Centers
501 Lapeer Ave
Saginaw, MI 48607

Comment	Last Updated On
1 Item 1 to 2 of 2 Page: of 1 Page size:

1 Item 1 to 2 of 2 Page: of 1 Page size:
4/10/14 on 3/30/14 A. Pope corrected an error that was created during recertification due to a wrong site ID in this record, specifically, on 3/19/14 during the OPA recert review the name and address of this record were changed to what EHB had for the site ID, but the site ID was actually wrong, so on 3/30 the site ID was corrected and the site name and address changed again to reflect the correct site ID, prior to 3/19 and after 3/30 this 340B record was for 2424 N. OUTER DRIVE, SAGINAW ; 9/15/06 - ADDED SHIPPING AND BILLING ADDRESSES	04/10/2014
9/15/06 - ADDED SHIPPING AND BILLING ADDRESSES	09/15/2006

340B Drug Pricing Program Database