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CH053752B COVENANT COMMUNITY CARE, INC. (Terminated)
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Main Details
Name
COVENANT COMMUNITY CARE, INC.
Subdivision Name
Covenant Woodward Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009518
340B ID
CH053752B
Grant Number
H80CS08738
Additional Details
Current Program Status
Terminated
Registration Date
7/22/2010
Participating Start Date
10/1/2010
Participating Approval Date
7/22/2010
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Covenant Community Care, Inc.
Anna Chavez, Chief Financial Officer
(313) 554-0485
Primary Contact
Covenant Community Care
Benjamin Luecht, Accounting Assistant
(313) 625-1378
Addresses
Street Address
27776 Woodward Ave
Royal Oak, MI 48067-0970
Billing Address
COVENANT COMMUNITY CARE, INC.
559 W. GRAND BOULEVARD
DETROIT, MI 48216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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