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CH05198AC ALCONA CITIZENS FOR HEALTH, INC. (Active)
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Main Details
Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
Alcona Health Center Pellston Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019331
340B ID
CH05198AC
Grant Number
H80CS00679
Additional Details
Current Program Status
Active
Registration Date
7/11/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
2/20/2025
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
421 Stimpson Street Unit 102
Pellston, MI 49769
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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