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CH05184B SAINT MARY'S HEALTH SERVICES (Terminated)
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Main Details
Name
SAINT MARY'S HEALTH SERVICES
Subdivision Name
HEARTSIDE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001309
340B ID
CH05184B
Grant Number
H80CS00031
Additional Details
Current Program Status
Terminated
Registration Date
9/7/2006
Participating Start Date
10/1/2006
Participating Approval Date
9/7/2006
Last Recertification Date
2/26/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Mercy Health Saint Mary's
Daniel G. Green, Vice President for Finance
(616) 685-6709
Primary Contact
DSH230059
Terry Kirkpatrick, Director of Pharmacy Services
(616) 685-6108
Addresses
Street Address
359 DIVISION AVENUE S.W.
GRAND RAPIDS, MI 49503
Billing Address
SAINT MARY'S HEALTH SERVICES
200 JEFFERSON STREET SOUTHEAST
GRAND RAPIDS, MI 49503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/26/14 Entity provided a correct address consistent with information in EHB, therefore it was "unterminated"; 3/18/14 can find no evidence in EHB that this address has been in the scope of project of the H80 grant
03/26/2014
3/18/14 can find no evidence in EHB that this address has been in the scope of project of the H80 grant
03/18/2014
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