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CH05198AL Alcona Citizens For Health, Inc. (Terminated)
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Main Details
Name
Alcona Citizens For Health, Inc.
Subdivision Name
Summit Psychological Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021793
340B ID
CH05198AL
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
Termination Date
Termination Reason
7/1/2018
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.
Sarah Nowakowski, Pharmacy Director
(989) 358-3922
Addresses
Street Address
20010 Farmington Road Room 2
Livonia, MI 48152
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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