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CHC26572-03 MyCare Heatlh Center (Terminated)
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Main Details
Name
MyCare Heatlh Center
Subdivision Name
Sacred Heart
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030121
340B ID
CHC26572-03
Grant Number
H80CS26572
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/17/2014
Last Recertification Date
2/5/2020
Termination Date
Termination Reason
10/1/2020
Site closure
Contacts
Authorizing Official
MyCare Health Center
Karen Wood, Wood
(586) 619-9986 Ext: 13
Primary Contact
MyCare Health Center
Jamie Wetherell, CFO
(586) 619-9986 Ext: 23
Addresses
Street Address
28303 Dequindre Rd
Ste 100
Madison Heights, MI 48071-3040
Billing Address
MyCare Health Center
6800 E 10 Mile Road
Center Line, MI 48015
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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