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CHC26573-00 TRAVERSE HEALTH CLINIC AND COALITION (Active)
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Main Details
Name
TRAVERSE HEALTH CLINIC AND COALITION
Subdivision Name
Traverse Health Clinic and Coalition
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017088
340B ID
CHC26573-00
Grant Number
H80CS26573
Additional Details
Current Program Status
Active
Registration Date
1/4/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/17/2017
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Traverse Health Clinic
Casey Kandow, Chief Executive Officer
(231) 642-5813
Primary Contact
Traverse Health Clinic
Rebecca Jenema, Business and Finance Manager
(231) 642-5931
Addresses
Street Address
1719 S. Garfield Ave.
Traverse City, MI 49686
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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