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FP496514 DISTRICT HEALTH DEPT NO 10 (Active)
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Main Details
Name
DISTRICT HEALTH DEPT NO 10
Subdivision Name
Lake City
Type
Family Planning (Title X only)
340B ID
FP496514
Grant Number
FPHPA006540
Additional Details
Current Program Status
Active
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/1/1998
Last Recertification Date
5/5/2025
Contacts
Authorizing Official
District Health Department #10
Sheila Parker, Clinical Supervisor
(231) 236-7588
Primary Contact
District Health Department #10
Ashlie Baker, Clinical Coordinator
(231) 876-3817
Addresses
Street Address
6180 W SANBORN RD
SUITE 1
LAKE CITY, MI 49651
Billing Address
District Health Department #10
1049 Newell St.
PO 850
White Cloud, MI 49349
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/1/10 UPDATED ADDR;
03/01/2010
June 2025
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