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CH051680 EAST JORDAN FAMILY HEALTH CENTER (Active)
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Main Details
Name
EAST JORDAN FAMILY HEALTH CENTER
Subdivision Name
EAST JORDAN FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005264
340B ID
CH051680
Grant Number
H80CS19533
Additional Details
Current Program Status
Active
Registration Date
1/1/1997
Participating Start Date
1/1/1997
Participating Approval Date
11/23/2004
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
East Jordan Family Health Center
Dan McKinnon, CEO
(231) 536-2206 Ext: 111
Primary Contact
East Jordan Family Health Center
Kaitlyn Pasik, Chief Pharmacist
(231) 536-2206 Ext: 616
Addresses
Street Address
601 Bridge St
East Jordan, MI 49727-9383
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/8/11 UPDATED GRANT NUMBER (WAS H80CS00739)
07/14/2011
April 2025
April 2025
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