340B Drug Pricing Program Database
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CH05198AF Alcona Citizens For Health, Inc. (Terminated)
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Main Details
Name
Alcona Citizens For Health, Inc.
Subdivision Name
Alcona Health Center Cheboygan Campus Suite 2B
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021300
340B ID
CH05198AF
Grant Number
H80CS00679
Additional Details
Current Program Status
Terminated
Registration Date
3/6/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/7/2018
Last Recertification Date
2/5/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
ALCONA CITIZENS FOR HEALTH, INC
Nancy Spencer, CEO
(989) 358-3916
Primary Contact
Alcona Citizens for Health, Inc.
Anna Rumbles, Pharmacy Director
(989) 358-3922
Addresses
Street Address
740 S Main St Ste 2B
Cheboygan, MI 49721-2220
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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