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CH05198M ALCONA CITIZENS FOR HEALTH, INC. (Active)
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Main Details
Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
Alcona Health Center Petoskey Child Health Associates
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019031
340B ID
CH05198M
Grant Number
H80CS00679
Additional Details
Current Program Status
Active
Registration Date
4/17/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
ALCONA CITIZENS FOR HEALTH, INC
Nancy Spencer, CEO
(989) 358-3916
Primary Contact
Alcona Citizens for Health, Inc.
Katelyn Kane, Pharmacy Director
(989) 358-3922
Addresses
Street Address
2390 Mitchell Park Dr Ste A
Petoskey, MI 49770
Billing Address
Alcona Citizens for Health, Inc.
P.O. Box 655
Alpena, MI 49707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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