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CH05623K FAMILY HEALTH CENTER INC. (Terminated)
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Main Details
Name
FAMILY HEALTH CENTER INC.
Subdivision Name
EDISON SCHOOL BASED HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005166
340B ID
CH05623K
Grant Number
H80CS00336
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
2/6/2019
Termination Date
Termination Reason
7/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Family Health Center
Denise Crawford, President/CEO
(269) 349-2461
Primary Contact
Family Health Center
Julie Koller, Director of Pharmacy
(269) 488-0850
Addresses
Street Address
924 Russell St
Kalamazoo, MI 49001-3037
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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