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CH05036AN GREAT LAKES BAY HEALTH CENTERS (Terminated)
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Main Details
Name
GREAT LAKES BAY HEALTH CENTERS
Subdivision Name
Valley OB-GYN Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018642
340B ID
CH05036AN
Grant Number
H80CS00689
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
2/25/2019
Termination Date
Termination Reason
10/1/2019
Site closure
Contacts
Authorizing Official
Great Lakes Bay Health Centers
Brenda Marie Coughlin, President/CEO
(989) 759-6467
Primary Contact
Great Lakes Bay Health Centers
Amy Colleen Evans, CFO
(989) 759-6438
Addresses
Street Address
926 N Michigan Ave
Saginaw, MI 48602-4323
Billing Address
Great Lakes Bay Health Centers
501 LAPEER AVENUE
SAGINAW, MI 48607-1208
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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