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CH05102A HACKLEY COMMUNITY CARE CENTER INC (Active)
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Main Details
Name
HACKLEY COMMUNITY CARE CENTER INC
Subdivision Name
Muskegon High Teen Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010042
340B ID
CH05102A
Grant Number
H80CS00684
Additional Details
Current Program Status
Active
Registration Date
1/7/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/12/2015
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Hackley Community Care Center
Valerie J Blondin, CFO
(231) 733-6657
Primary Contact
Hackley Community Care Center, Inc
Troy McLouth, Pharmacy Manager
(231) 733-6665
Addresses
Street Address
80 W Southern Ave
Muskegon, MI 49441-2541
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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