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FQHC638522B NHBP Health Department (Active)
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Main Details
Name
NHBP Health Department
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638522B
Additional Details
Current Program Status
Active
Registration Date
10/12/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/25/2016
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Nottawaseppi huron Band of the Potawatomi
Barry LaVerne Skutt Jr, CEO
(269) 704-4173
Primary Contact
NHBP
Rosalind M Johnston, Health and Human Services Director
(269) 729-4422 Ext: 8344
Addresses
Street Address
311 State Street
Grand Rapids, MI 49503
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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