340B Drug Pricing Program Database
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CH05036X Great Lakes Bay Health Centers (Active)
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Main Details
Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Wolverine Vassar
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030365
340B ID
CH05036X
Grant Number
H80CS00689
Additional Details
Current Program Status
Active
Registration Date
6/15/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/16/2006
Last Recertification Date
2/27/2025
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
1015 Commerce Dr
Vassar, MI 48768
Billing Address
Great Lakes Bay Health Centers
501 Lapeer Ave
Saginaw, MI 48607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/15/06 - ADDED SHIPPING AND BILLING ADDRESSES
09/15/2006
May 2025
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