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CH053090B WESTERN WAYNE FAMILY HEALTH CENTERS (Active)
Main Details
Name
WESTERN WAYNE FAMILY HEALTH CENTERS
Subdivision Name
Western Wayne Southwest Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013734
340B ID
CH053090B
Grant Number
H80CS06663
Contacts
Authorizing Official
Western Wayne Family Health Centers
LINDA ATKINS, CEO
(734) 941-4991 Ext: 210
Primary Contact
Western Wayne family
Guadalupe Vivanco, COO
(313) 561-5100 Ext: 243
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/16/2015
Last Recertification Date
2/20/2024
Addresses
Street Address
25650 OUTER DR
LINCOLN PARK, MI 48146-2096
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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