340B Drug Pricing Program Database
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CH050360 Great Lakes Bay Health Centers (Active)
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Main Details
Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers David R. Gamez
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002279
340B ID
CH050360
Grant Number
H80CS00689
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
5/21/2004
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Great Lakes Bay Health Centers
Amy Colleen Evans, CFO
(989) 759-6438
Primary Contact
Great Lakes Bay Health Centers
Kelli N Pardee, 340B Program Assistant Director
(989) 921-5840
Addresses
Street Address
501 Lapeer Ave
Saginaw, MI 48607
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/15/06 - ADDR CHANGE (WAS 3605 DAVENPORT)
09/28/2009
April 2025
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