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RRC230022-00 COMMUNITY HEALTH CENTER BRANCH CTY (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTER BRANCH CTY
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC230022-00
Medicare Provider Number
230022
Additional Details
Current Program Status
Terminated
Registration Date
5/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/22/2015
Last Recertification Date
11/16/2017
Termination Date
Termination Reason
4/1/2018
Change of covered entity type
Contacts
Authorizing Official
Community Health Center of Branch County
Randy DeGroot, CEO
(517) 279-5489
Primary Contact
Community Health Center of Branch County
Scott M. Wolschleger, Director of Pharmacy
(517) 279-5486
Addresses
Street Address
274 EAST CHICAGO STREET
COLDWATER, MI 49036
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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