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CH0530900 WESTERN WAYNE FAMILY HEALTH CENTERS (Active)
Main Details
Name
WESTERN WAYNE FAMILY HEALTH CENTERS
Subdivision Name
Western Wayne Family Health Centers
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015376
340B ID
CH0530900
Grant Number
H80CS06663
Contacts
Authorizing Official
Western Wayne Family Health Centers
LINDA ATKINS, CEO
(734) 941-4991 Ext: 210
Primary Contact
Western Wayne family
Guadalupe Vivanco, COO
(313) 561-5100 Ext: 243
Additional Details
Current Program Status
Active
Registration Date
9/15/2006
Participating Start Date
10/1/2006
Participating Approval Date
9/15/2006
Last Recertification Date
2/20/2024
Addresses
Street Address
2700 Hamlin Dr,
INKSTER, MI 48141
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/17/12-Changed authorizing official and primary contact was (LINDA JORDAN); 3/10/2008- UPDATED AUTH. OFFICIAL AND CONTACT PERSON INFO.;5/21/07 - UPDATED NAME FROM WESTERN WAYNE FAMILY HEALTH CENTER
04/17/2012
3/10/2008- UPDATED AUTH. OFFICIAL AND CONTACT PERSON INFO.;5/21/07 - UPDATED NAME FROM WESTERN WAYNE FAMILY HEALTH CENTER
03/10/2008
May 2024
May 2024
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