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CH053752C COVENANT COMMUNITY CARE, INC. (Active)
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Main Details
Name
COVENANT COMMUNITY CARE, INC.
Subdivision Name
Covenant Moross Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011822
340B ID
CH053752C
Grant Number
H80CS08738
Additional Details
Current Program Status
Active
Registration Date
1/6/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/19/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Covenant Community Care, Inc.
Anna Chavez, Chief Financial Officer
(313) 554-0485
Primary Contact
Covenant Community Care
Deborah Salazar, Controller
(313) 625-1377
Addresses
Street Address
20901 Moross Road
Detroit, MI 48236-2058
Billing Address
Covenant Community Care, Inc.
559 West Grand Blvd.
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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