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CH05036AG Great Lakes Bay Health Centers (Terminated)
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Main Details
Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Women's Care West Branch
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030075
340B ID
CH05036AG
Grant Number
H80CS00689
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/16/2015
Last Recertification Date
2/16/2024
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Great Lakes Bay Health Centers
Amy Colleen Evans, CFO
(989) 759-6438
Primary Contact
Great Lakes Bay Health Centers
Kelli N Pardee, 340B Program Assistant Director
(989) 921-5840
Addresses
Street Address
2110 S M 76
Ste 9
West Branch, MI 48661
Billing Address
Great Lakes Bay Health Centers
501 Lapeer Ave
Saginaw, MI 48607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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