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CHC26511-08 UPPER GREAT LAKES FAMILY HEALTH CENTER (Active)
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Main Details
Name
UPPER GREAT LAKES FAMILY HEALTH CENTER
Subdivision Name
Menominee Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013599
340B ID
CHC26511-08
Grant Number
H80CS26511
Additional Details
Current Program Status
Active
Registration Date
7/10/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Upper Great Lakes Family Health Center
Trevor Hodges, CFO
(906) 483-1846
Primary Contact
Upper Great Lakes Family Health Center
Anna Marie Rumbles, Clinical Pharmacy Director
(906) 372-3224
Addresses
Street Address
1110 10th Ave
Menominee, MI 49858
Billing Address
Upper Great Lakes Family Health Center
301 Explorer St
Gwinn, MI 49841
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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